Children's National Medical Center
Coding Analyst
Children's National Medical Center, Silver Spring, Maryland, United States, 20900
Job Description - Coding Analyst (250003CF)
Coding Analyst – 250003CF
Description
The Coding Analyst reports to the Manager of Coding and demonstrates expertise in the coding and analysis of pediatric medical records. The Analyst reviews, analyzes, and codes diagnostic and procedural information for technical or professional services that determine the care and treatment provided to the patient. The primary function of this position is to perform ICD‑10‑CM, CPT, ICD‑10‑PCS (IP tech/DRG), and HCPCS coding for Medicare, Medicaid, and private insurance payments. The coding function ensures compliance with established coding guidelines, third‑party reimbursement policies, regulations, and accreditation guidelines.
Qualifications
Minimum Education High School Diploma or GED (Required) Associate’s Degree (Preferred)
Minimum Work Experience 1 year hospital‑based coding experience required; pediatric experience preferred.
Functional Accountabilities
Assign and sequence ICD‑10‑CM/CPT/HCPCS/ICD‑10‑PCS (IP tech/DRG) codes to diagnosis and operative procedures for documented information; assure the final diagnosis and operative procedures stated by the physician are valid and complete; abstract all necessary information from health records to identify secondary complications and co‑morbidity conditions.
Meet department accuracy and productivity standards for coding, abstracting, and record reconciliation activities.
Abstract all necessary information and assign codes ICD‑10‑CM/CPT/HCPCS/ICD‑10‑PCS (IP tech/DRG) that most accurately describe each documented diagnosis, surgical procedure, and special therapy or procedure according to established guidelines.
Identify services needing abstraction/coding by following prescribed procedures for the capture of inpatient and outpatient services, including admissions, transfer and discharge reports, appointment schedules, and/or surgical schedules.
Abstract applicable clinical documentation (e.g., admit report, consultation report, progress note, surgical report) to determine the appropriate billing information (provider name, date of service, CPT code, ICD‑10 code, modifier(s)).
Ensure all documented services are captured and coded and that all coding work is performed consistently with applicable coding rules and conventions.
Perform a comprehensive review of the record to assure the presence of all component parts such as patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports indicated by the nature of the treatment rendered.
Analyze provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
Evaluate the record for documentation consistency and adequacy; ensure the final diagnosis accurately reflects the care and treatment rendered; review the records for compliance with established third‑party reimbursement agencies and special screening criteria.
Determine the final diagnosis and procedures stated by the physician or other health care providers are valid and complete.
Organizational Accountabilities (Staff)
Anticipate and respond to customer needs; follow up until needs are met.
Demonstrate collaborative and respectful behavior.
Partner with all team members to achieve goals.
Receptive to others’ ideas and opinions.
Contribute to a positive work environment.
Demonstrate flexibility and willingness to change.
Identify opportunities to improve clinical and administrative processes.
Make appropriate decisions using sound judgment.
Use resources efficiently.
Search for less costly ways of doing things.
Speak up when team members exhibit unsafe behavior or performance.
Continuously validate and verify information needed for decision making or documentation.
Stop in the face of uncertainty and take time to resolve the situation.
Demonstrate accurate, clear, and timely verbal and written communication.
Actively promote safety for patients, families, visitors, and co‑workers.
Attend carefully to important details – practicing Stop, Think, Act, and Review in order to self‑check behavior and performance.
Primary Location Maryland – Silver Spring
Other Locations District of Columbia – Washington
Work Locations Dorchester 12200 Plum Orchard Dr Silver Spring 20904
Job Health Information Management and Coding
Organization Finance
Position Status: R (Regular) - FT (Full‑Time)
Shift: Day
Work Schedule: Monday – Friday – 8:00 AM – 5:00 PM
Job Posting Full‑Time Salary Range 59,155.2 – 98,571.2
Children’s National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The "Know Your Rights" poster is available here: and the pay transparency policy is available here: Know Your Rights Pay Transparency Nondiscrimination Poster.
Please note that it is the policy of Children's National Hospital to ensure a "drug‑free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug‑free workplace, including prohibiting recreational or prescribed marijuana.
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Coding Analyst – 250003CF
Description
The Coding Analyst reports to the Manager of Coding and demonstrates expertise in the coding and analysis of pediatric medical records. The Analyst reviews, analyzes, and codes diagnostic and procedural information for technical or professional services that determine the care and treatment provided to the patient. The primary function of this position is to perform ICD‑10‑CM, CPT, ICD‑10‑PCS (IP tech/DRG), and HCPCS coding for Medicare, Medicaid, and private insurance payments. The coding function ensures compliance with established coding guidelines, third‑party reimbursement policies, regulations, and accreditation guidelines.
Qualifications
Minimum Education High School Diploma or GED (Required) Associate’s Degree (Preferred)
Minimum Work Experience 1 year hospital‑based coding experience required; pediatric experience preferred.
Functional Accountabilities
Assign and sequence ICD‑10‑CM/CPT/HCPCS/ICD‑10‑PCS (IP tech/DRG) codes to diagnosis and operative procedures for documented information; assure the final diagnosis and operative procedures stated by the physician are valid and complete; abstract all necessary information from health records to identify secondary complications and co‑morbidity conditions.
Meet department accuracy and productivity standards for coding, abstracting, and record reconciliation activities.
Abstract all necessary information and assign codes ICD‑10‑CM/CPT/HCPCS/ICD‑10‑PCS (IP tech/DRG) that most accurately describe each documented diagnosis, surgical procedure, and special therapy or procedure according to established guidelines.
Identify services needing abstraction/coding by following prescribed procedures for the capture of inpatient and outpatient services, including admissions, transfer and discharge reports, appointment schedules, and/or surgical schedules.
Abstract applicable clinical documentation (e.g., admit report, consultation report, progress note, surgical report) to determine the appropriate billing information (provider name, date of service, CPT code, ICD‑10 code, modifier(s)).
Ensure all documented services are captured and coded and that all coding work is performed consistently with applicable coding rules and conventions.
Perform a comprehensive review of the record to assure the presence of all component parts such as patient and record identification, signatures and dates where required, and other necessary data in the presence of all reports indicated by the nature of the treatment rendered.
Analyze provider documentation to assure the appropriate Evaluation & Management (E & M) levels are assigned using the correct CPT code.
Evaluate the record for documentation consistency and adequacy; ensure the final diagnosis accurately reflects the care and treatment rendered; review the records for compliance with established third‑party reimbursement agencies and special screening criteria.
Determine the final diagnosis and procedures stated by the physician or other health care providers are valid and complete.
Organizational Accountabilities (Staff)
Anticipate and respond to customer needs; follow up until needs are met.
Demonstrate collaborative and respectful behavior.
Partner with all team members to achieve goals.
Receptive to others’ ideas and opinions.
Contribute to a positive work environment.
Demonstrate flexibility and willingness to change.
Identify opportunities to improve clinical and administrative processes.
Make appropriate decisions using sound judgment.
Use resources efficiently.
Search for less costly ways of doing things.
Speak up when team members exhibit unsafe behavior or performance.
Continuously validate and verify information needed for decision making or documentation.
Stop in the face of uncertainty and take time to resolve the situation.
Demonstrate accurate, clear, and timely verbal and written communication.
Actively promote safety for patients, families, visitors, and co‑workers.
Attend carefully to important details – practicing Stop, Think, Act, and Review in order to self‑check behavior and performance.
Primary Location Maryland – Silver Spring
Other Locations District of Columbia – Washington
Work Locations Dorchester 12200 Plum Orchard Dr Silver Spring 20904
Job Health Information Management and Coding
Organization Finance
Position Status: R (Regular) - FT (Full‑Time)
Shift: Day
Work Schedule: Monday – Friday – 8:00 AM – 5:00 PM
Job Posting Full‑Time Salary Range 59,155.2 – 98,571.2
Children’s National Hospital is an equal opportunity employer that evaluates qualified applicants without regard to race, color, national origin, religion, sex, age, marital status, disability, veteran status, sexual orientation, gender, identity, or other characteristics protected by law. The "Know Your Rights" poster is available here: and the pay transparency policy is available here: Know Your Rights Pay Transparency Nondiscrimination Poster.
Please note that it is the policy of Children's National Hospital to ensure a "drug‑free" work environment: a workplace free from the illegal use, possession or distribution of controlled substances (as defined in the Controlled Substances Act), or the misuse of legal substances by all staff (management, employees and contractors). Though recreational and medical marijuana are now legal in the District of Columbia, Children's National and its affiliates maintain the right, in accordance with our policy, to enforce a drug‑free workplace, including prohibiting recreational or prescribed marijuana.
#J-18808-Ljbffr