Coding Analyst II
Summary
The HB Coding Analyst II is responsible for accurate review, abstraction, coding, indexing, and charge capture of hospital-based services, including outpatient, inpatient, and the computation of observation time charges, using ICD-10-CM, ICD-10-PCS, CPT/HCPCS, DRG, and APR-DRG coding systems as applicable. This role supports regulatory compliance, revenue integrity, accurate reimbursement, and timely claim submission.
Key Responsibilities
Reviews and codes all diagnoses according to ICD-10-CM coding classification systems and regulatory guidelines. Maintaining a 95% or higher quality rating.
Reviews and codes all procedures according to ICD-10-PCS coding classification systems and regulatory guidelines. Maintaining a 95% or higher quality rating.
Reviews and codes all procedures according to CPT coding classification systems and regulatory guidelines. Maintaining a 95% or higher quality rating.
Reviews and codes all accounts according to DRG & APR-DRG coding classification systems and regulatory guidelines. Maintaining a 95% or higher quality rating.
Maintain 95% or higher on all monthly coding educational knowledge checks.
Demonstrates a consistent level of performance; strives to maintain a minimum productivity that is set per chart type.
Abstracts and indexes medical records, according to governmental compliance and hospital guidelines.
Query physicians for clarification of conflicting/dropped documentation.
Review cardiac charges, remove 481 code, and post appropriate charges.
Work with leadership in troubleshooting third party coding software.
Attend all CDI/Coder/Case Management monthly meetings.
Supports and participates in meeting departmental goals.
Displays professionalism and courtesy in assisting physicians and other departments in problem solving.
Reviews outpatient records, computes observation time, and posts the charges to the patient account.
Performs all other tasks/responsibilities as necessary/assigned.
Qualifications
High school diploma or equivalent required
Coding or related Certification or Vocational education in field preferred
Strong knowledge of:
Medical terminology and anatomy
Coding guidelines
ICD-10-CM diagnosis coding
ICD-10-PCS procedure coding
CPT/HCPCS procedure coding
DRG and APR-DRG coding systems
Strong attention to detail and organizational skills
Must be able to communicate effectively in English, both verbally and in writing
Ability to work independently and as part of a team
Experience
Minimum of one-year experience inpatient and/or outpatient coding in an acute health care setting.
Physical Requirements
- Vision acuity, hearing sensitivity, and manual dexterity
- Occasional bending, stooping, kneeling, reaching, lifting, and standing