Clinical Data Analyst IV

6 days ago


Charlotte, North Carolina, United States Atrium Health Full time
Job Summary

We are seeking a highly skilled Clinical Coder IV to join our team at Atrium Health. As a Clinical Coder IV, you will be responsible for reviewing clinical documentation and diagnostic results to extract abstract data and apply appropriate ICD-9-CM/ICD10-CM/PCS and CPT 4 codes for reimbursement and external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and any other regulatory edits.

Key Responsibilities
  • Review medical records of high complexity to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes.
  • Assign and present on Admission, Hospital Acquired Condition and Core Measure Indicators for all diagnosis codes.
  • Facilitate appropriate MS-DRG for inpatient medical records and appropriate APC assignment for outpatient medical records using UHDDS and other facility guidelines.
  • Demonstrate technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
  • Review charges and Evaluation and Management levels.
  • Demonstrate proficiency with Microsoft Office Applications and in using required computer systems with minimal assistance.
  • Abstract coded data and other pertinent fields in the hospital electronic health record.
  • Ensure the accuracy of data input.
  • Meet established quality and productivity standards.
  • Facilitate peer review and training for all Acute Clinical Coders in the coding department. Provide support to management.
  • Stay abreast of coding principles and regulatory guidelines related to inpatient and/or outpatient coding.
Requirements
  • High school diploma or GED required; Bachelor's degree preferred.
  • Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology required.
  • 4 years coding experience in acute care setting required.
  • Current RHIA, RHIT, CCS, CPC-H, CPC or CIC required plus a passing score on the Coding test.


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