Hospital Observation and Same Day Surgery Coding Analyst

Job Description

The HIM Same Day Surgery Coding Analyst deciphers and interprets provider documentation in the health record and assigns diagnostic information using ICD-10-CM/PCS and CPT codes for a complex range of acute care services for Intermountain Health. The caregiver provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 & CPT codes, DRGs, anatomy and physiology, pharmacology.

The analyst also performs audits, provides feedback, and advanced training to clinical teams and physicians on ICD-10 and CPT coding best practices.

• Reviews and analyzes acute care medical records for completeness, accuracy, and compliance for Same Day Surgery and Observation services at Intermountain Health.
• Performs coding at an advanced level of complexity for inpatient hospitals including governmental and/or payer specific requirements with possible multiple surgeries, and numerous consultations
• Following regulatory guidelines, assigns appropriate diagnosis and procedure codes using ICD-10-CM/PCS, CPT and other coding systems
• Ensures that coded data accurately reflects the severity of illness, risk of mortality, and quality of care
• Queries physicians and other clinical staff for clarification or documentation when needed
• Validates DRG and APR-DRG and ambulatory assignments and reimbursement calculations
• Abides by the AHIMA Code of Ethics and Standards of Ethical Coding
• Follow coding policies and procedures and report any issues or discrepancies
• Perform coding audits and provides feedback and education to coders and clinical staff
• Participate in coding quality improvement initiatives and projects

• ICD-10-CM & PCS
• Electronic Health Record
• Anatomy, physiology & pathophysiology
• Accuracy
• Detail oriented
• Coding software
• Interpersonal skills
• Computer literacy
• Coding regulations
• Analytical Skills

• Coding Certification from AHIMA or AAPC
• High School Diploma or GED required.
• Demonstrates expert level ability to understand and compliantly apply complex coding and billing requirements.
• Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG, and APR-DRG classification systems.
• Ability to complete and pass internal coding exam.
• Demonstrates proficiency in using coding software, electronic health records, and other health information systems.
• Demonstrates excellent communication, interpersonal, and analytical skills
• Ability to work independently and collaboratively in a fast-paced environment

• Associate degree or higher in health information management, health informatics, or related field preferred. Degree must be obtained through an accredited institution. Education is verified.
• Demonstrated acute care facility coding experience which includes both ICD-10-CM & PCS coding with multidisciplinary service lines.
• Experience with EPIC EHR and 3M 360 CAC (Computer Assisted Coding), using 3M automation tools.

• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• May have the same physical requirements as those of clinical or patient care jobs when the leader takes clinical shifts.
• For roles requiring driving:
  Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.

Peaks Regional Office

Broomfield

Colorado

40

$27.65 - $43.55

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of…