Clinical Data Analyst

1 week ago


Charlotte, North Carolina, United States Netpace Full time
Clinical Coder Job Description

Job Summary: We are seeking a skilled Clinical Coder to join our team at Netpace. The successful candidate will be responsible for reviewing clinical documentation and diagnostic results to extract abstract data and apply appropriate codes for reimbursement and external reporting.

Key Responsibilities:

  • Review 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 other regulatory edits.
  • Code and abstract medical records of high complexity within the Primary Enterprise acute care facilities.
  • 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.
  • 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:

  • Ability to concentrate and sit for long periods of time while reviewing electronic health records.
  • Daily and weekly deadlines must be met in a fast-paced office environment and/or at home environment.

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