Emergency Medicine Coding & Education Analyst
Job ID: 30096-1
Department: ED Emergency Room Nrsg
City: St. Paul, MN
Location: RH - Regions Hospital & Clinics
Position Type: Full-Time
Anticipated Work Schedule: 8-5
Hrs/Pay Period: 80
Position summary: To complete an analysis of each individual patient visit/chart to provide coding accurate diagnoses, procedures, visit level and other relevant data base information for optimal financial reimbursement, collection of unique and pertinent information and accumulation of statistical data; to provide an information base for the hospital financial, utilization and quality activities, research and statistics; to assign accurate and optimal ICD-9-CM, ICD-10-CM, CPT-4 codes and APC codes for reimbursement from Third Party Payers; and perform related duties as assigned.
Complete and accurate coding ensures the financial gain for the hospital and physician practice. Information provided by the coding staff drives the reimbursement levels for the organization. Failure to accurately perform this function impacts financial performance of the Hospital and physician practice and may have a multi-million dollar impact on reimbursement annually as well as affecting accounts receivable. It also supplies the Financial Department with information to assimilate accurate trends and predict future budgetary issues for Hospital growth.
The work done by the coding and education staff provides the ability to maintain compliance with JCAHO, HCFA and the Department of Health by accurately reflecting the patient diagnoses and procedures. Statistical research is also generated from the coding process, which can be used in a multitude of studies. Coding accurately reflects the situations of our patients and the treatments rendered at our facility. It ensures a complete medical record reflecting care given. It is used in conjunction with Third Party payers and impacts proper billing and reimbursement. Coding that is not accurate leaves the hospital at risk for corporate non-compliance with Medicare rules and regulations.
The Emergency Medicine Coding & Education Analyst (EMCEA) also provides support to providers and clinical staff for CPT, HCPCS, ICD-9-CM, and ICD-10-CM education around coding, billing/revenue recognition, and compliance. Performs other duties as assigned.
Graduation from an associate or bachelor degree program in health information or completion of a coding specialist program and eligible for certification, accreditation or registration by the American Health Information Management Association (AHIMA) and/or the American Academy of Professional Coders (AAPC).
Knowledge of anatomy/physiology, basic disease processes, medical terminology, entry-level computer functions and ability to type.
Three (3) years experience in ICD-9/ ICD-10/CPT coding.
Certified Professional Coder (CPC), or Certified Coding Specialist (CCS) certification, or the eligibility to obtain certification in one or all of these areas. Other coding certifications will be considered in place of the CPC or CCS certifications.
We are an Equal Opportunity Employer and do not discriminate against applicants due to race, ethnicity, gender, veteran status, or on the basis of disability or any other federal, state or local protected class.