Healthcare Coding Analyst

2 weeks ago

GondrecourtleChâteau, Grand Est, United States Minnesota Community Care Full time
Position Overview

Experience Level
Experienced

Location
Admin - Saint Paul, MN

Employment Type
1.0 FTE

Educational Requirements
Associates Degree

Travel Requirements
None

Work Schedule
Day

Sector
Healthcare

Role Summary

The Healthcare Coding Analyst is responsible for assessing medical documentation and encounters to ensure thoroughness, precision, and adherence to the International Classification of Diseases Manual - Clinical Modification (ICD-10-CM) and the American Medical Association's Current Procedural Terminology Manual (CPT). This role also involves offering technical support and training in medical coding to healthcare providers and staff.

Key Responsibilities
Accommodations may be provided to enable individuals with disabilities to perform these essential duties.
  • Assign codes to diagnoses and procedures utilizing ICD-10 and CPT coding systems.
  • Verify that codes are accurate and sequenced properly in compliance with governmental and insurance standards, adhering to current coding policies.
  • Engage in communication and training with providers regarding any documentation that lacks clarity or completeness to meet current coding policies.
  • Collaborate with clinical staff and management concerning documentation.
  • Investigate complex or unusual coding cases to align with FQHC guidelines.
  • Stay informed about current Medicaid methodologies and coding requirements for FQHC billing and coding.
  • Conduct audits and reviews of patient charts and documents for accuracy, addressing over- or under-coding issues.
  • Represent the Business Office in monthly provider meetings to educate and assist staff with coding inquiries.
  • Collaborate with management on special initiatives related to grants, training, and improving risk management scores.
Essential Skills
  • In-depth knowledge of anatomy, physiology, and medical terminology.
  • Dedication to providing exceptional customer service.
  • Familiarity with ICD-10 coding systems and procedures.
  • Strong verbal and written communication abilities.
  • Working knowledge of medical terminology and anatomy is preferred.
  • Ability to work independently.
  • Commitment to promoting diversity, equity, and inclusion.
  • Outstanding organizational skills and attention to detail.
  • Proficient time management skills with a proven track record of meeting deadlines.
  • Strong analytical and critical thinking abilities.
  • Flexibility to adapt to the organization's evolving needs.
Work Environment
This position requires in-person attendance. The primary work environment may include a home office, administrative office, or clinical setting. Regular walking is part of the role, and there may be interactions with patients who could have contagious illnesses.

Physical Requirements
  • Extended periods of sitting at a desk and working on a computer.
  • Ability to lift up to 15 pounds occasionally.
About Us
As Minnesota's largest Federally Qualified Health Center, Minnesota Community Care is dedicated to ensuring that the communities we serve have access to high-quality and affordable healthcare. Our patient population predominantly consists of individuals from diverse backgrounds, including people of color, low-income individuals, and those who are uninsured or underinsured.

We are an equal opportunity employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability status, protected veteran status, or any other characteristic protected by law. Minnesota Community Care values building a culturally diverse workforce that reflects the communities it serves and strongly encourages women, minorities, and individuals with disabilities to apply.

Qualifications

Required Education and Experience
  • High school diploma or equivalent.
  • A minimum of two years of experience in outpatient coding and/or Health Information Management.
  • Successful completion of an ICD-10-CM training or certification program, or if currently pursuing such, completion of at least 50% of the curriculum with an expectation of finishing within two months of hire.
  • Certification from a recognized professional coding organization or proof of successful completion of relevant coursework.
Preferred Education and Experience
  • At least two years of experience in a medical office setting, such as Family Practice, FQHC, Community Clinic, ambulatory surgery center, hospital, or doctor's office.
  • Completed coursework in Human Anatomy & Physiology, Medical Terminology, and Introduction to Coding (including ICD-10 and CPT) is preferred.
Additional Eligibility Requirements
  • Proven success in effectively working with target populations.
  • Ability to adapt to change and operate in dynamic environments.
  • Experience in a multi-site healthcare setting is highly desirable.

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