Inpatient Coding Analyst

Job not on LinkedIn

🔥 6 hours ago

🏈 Ohio – Remote

🏈 Ohio – Remote

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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University Hospitals

WebsiteLinkedInAll Job Openings

10,000+ employees

🏥 Healthcare

📚 Education

💰 $2M Grant on 2021-07

Healthcare • Medical Services • Education

University Hospitals is a leading healthcare provider that offers a wide range of medical services, including primary care, specialty care, and urgent care. With a focus on patient-centered care, UH also engages in medical education and research, ensuring high-quality treatment and innovative healthcare solutions. The institution is recognized nationally for its excellence in various medical specialties, providing accessible healthcare to the community and beyond.

📋 Description

• Research, manage, and resolve pre-bill edits and pre-bill errors • Conduct and facilitate activities related to regulatory coding requirements reviews, denials, surgery reservation CPT/PCS code assignment, and patient inquiries requiring coding review • Review claims edits from different source systems through assigned work queues using coding and regulatory expertise • Research coding and payer guidelines for claims denials • Review coding, recommend updated coding changes, and provide appeal documents to the follow-up team • Review surgery reservation forms and assign appropriate CPT/PCS and ICD-10 codes to initiate pre-certification • Review Customer Service requests related to HIS coding disputes • Perform analytic reviews of encounters generated by vendors or other external sources • Maintain coding knowledge, credentials, and knowledge of regulatory and departmental guidelines • Abide by AHIMA Standards of Ethical Coding • Trend potential edits and work with the Coding Educator to develop training and ongoing education • Participate in educational and informational activities and student mentorship programs • Comply with policies and standards and protect patient PHI

🎯 Requirements

• Associate's Degree in HIM (Required) • Bachelor's Degree in HIM (Preferred) • 4+ years ICD-10 coding experience, preferably in a large academic medical center (Required) • 3+ years with hospital revenue accounting, billing, reimbursement and/or patient accounting (Required) • Experience working directly with physicians and others (Preferred) • Expertise in surgical/procedure coding (Required proficiency) • Thorough, up-to-date clinical skills and current working knowledge of pathology, pharmacology, surgical procedures, etc. (Required proficiency) • Excellent written and verbal communication skills (Required proficiency) • Ability to function independently and as a team player in a fast-paced environment (Required proficiency) • Detail-oriented and organized, with good problem-solving ability (Required proficiency) • Client service, communication, and relationship-building skills (Required proficiency) • Ability to use PCs, Microsoft Office suite, and general office equipment (Required proficiency) • Proven ability to work within multiple systems (Required proficiency) • Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA) certification (Required) • Certified Coding Specialist (CCS) certification (Preferred) • Ability to safely and securely maintain Protected Health Information (PHI) • Travel requirement of 10%

🏖️ Benefits

• Full-time regular employee status • Remote work • Annual training • Educational and informational activities • Student mentorship programs