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St. Mary's Medical Center (West Virginia)

Coder Analyst IV

St. Mary's Medical Center (West Virginia), Huntington, West Virginia, us, 25777

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PRN Coder Analyst IV

Marshall Health Network's Health Information Management department is seeking a PRN Coder Analyst IV. System Specific Duties and Responsibilities: Assign accurate diagnosis and procedure codes using ICD-10-CM/PCS, CPT, and/or HCPCS for reimbursement, compliance, and reporting purposes. Utilizes coding guidelines set up by government agencies dealing with the coding of health information. Demonstrates, promotes, and monitors for high standards of quality and productivity; focuses on quality results first. Maintains a standard of productivity that consistently meets or exceeds 98% of productivity. Maintains a standard or quality that consistently meets or exceeds 95% accuracy rate. Proficient to expert level knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS code sets. Proficient to expert level knowledge of MS-DRG and APR-DRG groupers and Medicare's inpatient prospective payment system (IPPS) and outpatient prospective payment system (OPPS). Mentors new hires and/or participates in the cross-training of coding professionals as requested. Participates in departmental meetings. Responsible for reading meeting minutes or handouts as provided. Completes coding education sessions as required in addition to maintaining educational requirements for credential maintenance. Contributes to team efforts for the reduction of our combined DNFC. Uses resources (people, supplies, environmental) in a responsible cost-effective manner. Uses own time and that of others effectively. Demonstrates competency with all necessary computer systems and applications. Demonstrates understanding and sensitivity to compliance issues related to the corporate compliance plan. Collaborate with billing office, finance, revenue integrity, CDI, HIM supervisors/techs, case management, information technology, compliance, quality, and other departments as needed to resolve issues/opportunities that have been identified during or after the coding process. Must possess strong interpersonal communication skills and communicate honestly. Ability to analyze and interpret complex data. Adjusts and is flexible to meeting changing work needs and demands. Assumes other duties as necessary to support the efforts of the health system. Refers coding related issues or concerns to supervisor. Maintains a high degree of ethics, integrity, and confidentiality. Appreciates, celebrates, and values diversity. Follow the code of Ethics and the Standards of Ethical Coding developed by the American Health Information Management Association and/or the Code of Ethics by the American Academy of Professional Coders. Community Engagement Active Membership to American Health Information Management Association (AHIMA) or American Academy of Professional Coders (AAPC)