Health Information Management Coding and Revenue Analyst

Default Work Shift:

Day (United States of America)

Hours:

40

Salary range:

$30.59 - $46.48

Schedule:

Full Time

Shift Hours:

8 Hour employee

Department:

Medical Records

Job Objective:

Ensures the accuracy, integrity, and compliance of coded health system encounters across inpatient and outpatient settings including outpatient surgery, emergency, and observation. Conducts retrospective audits, validates code assignment, validates charges where appropriate, and evaluates adequacy in alignment with organizational policies. Serves as an HIM Epic and 3M-360 Super-user.

Job Description:

Education: Required: Associate’s degree in Health Information Management or related field Preferred: Bachelor’s degree in Health Information Management or related field

Licensure/Certification: Required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) from American Health Information Management Association (AHIMA) Preferred: Epic certification in coding

Experience: Required: Two (2) years of experience in hospital/facility coding and charge capture as a certified coder Preferred: Formal auditing, consulting or vendor experience; experience using 3M-360; experience with hospital charging and revenue cycle initiatives

Reports To: Manager-Health Information Management Coding Supervises: N/A Ages of Patients: N/A Blood Borne Pathogens: Minimal/ No Potential

Skills, Knowledge, Abilities:

Ability to adapt quickly to changing priorities and unexpected situations, Ability to create and maintain positive interpersonal relations with peers, staff, leaders and vendors, Ability to investigate and analyze multiple coding resources such as Coding Clinic, CPT Assistant, coding and charging for devices and implants, Local/National coverage determinations and payer contracts, Expert knowledge of 3M encoder and related products, Expert-level working knowledge of inpatient and outpatient coding guidelines, including ICD-10-CM/PCS and CPT, Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, charging, and billing, Extensive working knowledge of revenue cycle workflows, charging, revenue integrity, and hospital accounting principles, Proficient in using Microsoft Office applications with advanced working knowledge of Excel, Working knowledge of Epic workflows pertinent to HIM, coding, and revenue cycle, Written and verbal communication skills