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Clinical Coding Analyst
1 month ago
The Clinical Coding Analyst is a credentialed coder, HIM professional or Registered Nurse who will perform
inpatient chart reviews to identify coding opportunities that may impact the MS-DRG or APR-DRG assignment.
The review includes identification of revenue opportunities as well as coding and compliance risks. The analyst
should have high level knowledge of the Official ICD 10-CM/PCS Guidelines for Coding and Reporting and AHA
Coding Clinics
Requirements:DUTIES AND RESPONSIBILITIES:
• Manages MS-DRG review work queues for assigned clients
• Perform chart reviews to identify coding opportunities, documentation opportunities, and potential
coding compliance issues
• Perform validation reviews with the supervising Physician Advisor for all reviewed records
• Perform all chart reviews within 2 business days of receipt of case
• Maintain current knowledge of AHA coding clinic and ICD-10-CM/PCS code changes
• Participation in client calls to support the client relationship and company meetings as needed
• Work collaboratively with operations, client engagement and the supervising physician advisor to ensure
cases are received in a timely manner and processed accordingly to meet deadlines
KNOWLEDGE, SKILLS, AND ABILITIES: Abilities may be accessed through written, verbal, and other evaluation
methods.
• High level coding expertise
• At least 5 years of recent inpatient coding experience or MS-DRG auditing experience
• Strong computer skills
• Consulting experience preferred
• Experience with CDI programs preferred
• Must have strong oral and written communication skills
• Ability to work independently and collaborate well with other departments
WORK EXPERIENCE, EDUCATION AND CERTIFICATIONS: List preferred/required work experience, education, and
certifications.
• Credentials: a combination of any of the following: CCS, CDIP, CCDS, RHIT, RHIA
• Experience with multiple Electronic Health Records preferred
WORKING CONDITIONS AND PHYSICAL REQUIREMENTS:
Conditions typically associated with an office environment. While performing the essential duties and
responsibilities, the employee is regularly required to talk or hear. May be frequently required to sit, stand or
walk. Moderate to prolonged reading, typing, and computer work. Ability to perform tasks involving physical
activity that may include lifting to 25 pounds. Subject to exposure to all environmental hazards associated with
healthcare and office work.
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