• HIM - Analyst

    UnityPoint Health (Des Moines, IA)


    + Area of Interest: Patient Services

    + FTE/Hours per pay period: 1

    + Department: Coding- Professional Billing

    + Shift: 8

    + Job ID: 168957

    Overview

    Coding Specialist II reviews inpatient and outpatient medical records for documentation, abstracting and analyzing. Assign all codes to the highest level of specificity following the current guidelines for ICD-10-CM, CPT, and HCPCS. Understand and properly apply modifiers, CCI edits, medical policy rules (e.g., LCD/NCD), etc., in compliance with payor regulations.

     

    Hours: Monday-Friday, standard business hours

     

    Why UnityPoint Health?

     

    At UnityPoint Health, you matter. We’re proud to be recognized as a Top 150 Place to Work in Healthcare by Becker's Healthcare several years in a row for our commitment to our team members.

     

    Our competitive Total Rewards program offers benefits options that align with your needs and priorities, no matter what life stage you’re in.   Here are just a few:

     

    + Expect paid time off, parental leave, 401K matching and an employee recognition program .

    + Dental and health insurance, paid holidays, short and long-term disability and more. We even offer pet insurance for your four-legged family members.

    + Early access to earned wages with Daily Pay, tuition reimbursement to help further your career and adoption assistance to help you grow your family .

     

    With a collective goal to champion a culture of belonging where everyone feels valued and respected, we honor the ways people are unique and embrace what brings us together.

     

    And, we believe equipping you with support and development opportunities is a vital part of delivering an exceptional employment experience.

     

    Find a fulfilling career and make a difference with UnityPoint Health.

    Responsibilities

    Coding and Department Support

     

    + Assigns procedural codes according to coding conventions defined by the American Medical Association’s CPT manual, CMS, including the Correct Coding Initiative, Medicaid and other third-party payor policies as applicable.

    + Assigns diagnosis codes according to the ICD-9 and/or ICD-10 Official Guidelines for Coding and Reporting.

    + Working knowledge of modifiers, CCI edits, HCPCs, LCD/NCDs and other applicable tools to insure compliance with payer regulations.

    + Research and resolve coding related issues accordingly per established EPIC Charge Review Work Queue functionality.

    + Collaborate with Clinical Auditors to identify opportunities for improvement and provide guidance/counsel to providers.

    + Monitor environmental conditions in order to secure protected health information.

    + Maintain departmental and organizational awareness by attending meetings as required, reading emails and regularly checking information on the organization’s intranet site.

    + Maintain regular and consistent attendance at work.

    + Maintain compliance with Personnel policies and procedures.

    + Balance team and individual responsibilities; be open and objective to other’s views; give and welcome feedback; contribute to positive team goals; and put the success of the team above own interests.

    + Perform other duties as requested to facilitate the smooth and effective operations of the organization.

    + Consistently research and resolve coding related denials per payer regulations.

    + Charge entry of CPT and ICD-9/ICD-10 codes.

    + Ability to code complex procedural coding cases.

    + Maintain productivity standards.

    + Maintain quality scores at or above 95%.

    + Collection and/or analysis of coding-related data for training purposes or presentation as needed.

    + Behave in a manner consistent with all Compliance and HIPAA policies and procedures.

    + Demonstrate initiative to improve quality and customer service by striving to exceed customer expectations.

    Qualifications

    + Highschool Diploma/GED

    + Completion of nationally recognized coding program (AHIMA/AAPC)

    + Three (3) years professional coding experience.

    + Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS), or Certified Professional Coder (CPC) certification status required.