Job Description:

This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, PCS procedure codes, and the DRG to ensure proper reimbursement for complex inpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM/PCS coding guidelines, MS-DRG and APR-DRG reimbursement systems, medical terminology, and disease processes. Works closely with Clinical Documentation Integrity and clinicians to ensure complete and accurate documentation, coding, and final DRG assignment. Adheres to the quality and productivity standards set by the department.

Education Qualifications:

Key Responsibilities:

• Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and PCS procedural codes accurately reflect and support the inpatient hospital admission

• Identifies documentation clarification opportunities to ensure that documentation supports the coding and DRG assignment. Initiates coding queries and provides feedback to clinicians

• Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided

• Works with the coding denials team for education and assists with DRG denial prevention solutions

• Ensures inpatient accounts are coded accurately and in a timely manner

• Consistently maintains coding quality (95% accuracy) and productivity expectations

• Assists with the training of inpatient coders

• Performs related duties as required

  Educational Requirements:

• Successful completion of a coding program, which included coursework in ICD-10-CM/PCS, medical terminology, anatomy and physiology and disease processes

Required Qualifications:

• Two (2) years of hospital inpatient/DRG coding experience

  Preferred Qualifications:

• Epic experience

• 3M Encoder experience

• Computer Assisted Coding experience

Licensure/Certification Qualifications:

Certification/Licensure Requirements:

• Current certification with American Health Information Management Association (AHIMA) or AAPC and credentialed as Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Professional Coder (CPC), Certified Coding Specialist (CCS), and/or Certified Inpatient Coder (CIC)

• Passing score on the Essentia Health senior inpatient coding skills assessment

FTE

1

Shift Rotation

Day Rotation (United States of America)

Shift Start Time

08:00

Shift End Time

4:30

Pay Range

$23.61 - $34.91 / hour

The approximate base compensation range is posted, but the actual offer will reflect our total compensation and benefits package. The offer will be determined by a number of factors including the selected candidate’s experience, knowledge, skills, abilities, FTE, as well as internal equity among our team.

Weekends

No weekends

Union

DC USWA Main & Neighborhoods (DCUMN)

Effective December 1, 2019: Job offers are contingent upon successful completion of a post-offer assessment, including a urine drug screen, immunization review, proof of required vaccinations, and background check. Essentia Health is committed to maintaining a work environment free from the influence of illegal drugs and alcohol.

Essentia Health EEO:

Essentia Health is an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, sexual identity, national origin, disability, protected veteran status, or any other characteristic protected by law.

Equal Employment Opportunity (EEO) at Essentia

It is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.