Health Information Manager Coder Analyst III
Company: Disability Solutions
Location: Fort Worth
Posted on: April 19, 2024
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Job Description:
Location:Medical Center - Fort
WorthDepartment:HIM-CodingShift:Standard Weekly Hours:40Summary:The
HIM Coder Analyst requires superior knowledge of and skill in
applying International Classification of Diseases and Procedures
(ICD), and Current Procedural Terminology (CPT) code sets and
associated Medicare/Medicaid rules and guidelines. Reviews and
interprets patient medical record documentation to identify
pertinent diagnoses and procedures and assigns ICD-9-CM,
ICD-10-CM/PCS and CPT 4 codes accurately and timely to the highest
level of specificity based upon physician documentation for
inpatient, observation and outpatient ambulatory
procedures/treatment room records. Validates the coded data to one
or more Diagnosis Related Groupers (DRG) validates the Present on
Admission (POA) indicators for accuracy. Primarily codes more
complex and difficult inpatient medical records. Identifies and
abstracts specified information from the patient medical record and
enters data into the electronic health record system for billing
and use in all types of CCHCS reporting. Performs extended length
of stay coding for interim cycle billing. During in-house interim
coding, reviews for documentation opportunities and queries with
CDIS to clarify confusing, incomplete or conflicting information
and obtain any needed additional documentation in real time.
Assists with coding outpatient surgery, observation outpatient
ancillary clinic, specialty clinic and emergency room record visits
as necessary. Minimum expected accuracy rate for all coding & DRG
assignments is 95% or above. Communicates with physicians and other
providers regarding documentation requirements and collaborates
with Clinical Documentation Specialists or Quality Auditors on
patient cases regarding documentation needs and requirements, and
coding and DRG assignment accuracy. Maintains current knowledge of
coding, DRG and documentation changes, rules and
guidelines.Education & Experience:
Keywords: Disability Solutions, Keller , Health Information Manager Coder Analyst III, Healthcare , Fort Worth, Texas
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