HIM Hospital ER Coding Analyst

HIM Hospital Emergency Room Coder

The HIM Hospital Emergency Room Coder is responsible for accurately assigning ICD-10 CM (Clinical Modification) diagnosis codes and Current Procedural Terminology (CPT) codes for emergency departments. This position is at an intermediate level of complexity and ensures compliance with coding guidelines, documentation requirements, and reimbursement policies, as well as ensures claims meet medical necessity for procedures performed.

Essential Functions

• Reviews and analyzes emergency department records and assign appropriate ICD-10 CM and CPT codes for diagnoses and procedures.
• Ensures accuracy and completeness of coding and documentation and resolve any discrepancies or errors.
• Utilizes appropriate tools, resources, and coding guidelines to determine codes and assigns first listed diagnosis and secondary diagnoses codes in addition to CPT procedure codes when appropriate.
• Follows coding guidelines, regulations, and policies, and adhere to ethical standards of coding practice.
• Queries physicians or other healthcare providers for clarification or additional information when needed.
• Submits coded claims to billing department or third-party payers in a timely manner.
• Verifies data abstracted and entered from the electronic health record (EHR). Ensures integrity of the database for internal and external data reporting.
• Monitors and responds to coding denials, appeals, and audits.
• Maintains current knowledge of coding updates, changes, and trends through continuing education and professional development.

Skills

• ICD-10-CM & PCS
• Electronic Health Record
• Anatomy, physiology & pathophysiology
• Accuracy
• Detail oriented
• Coding software
• Interpersonal skills
• Computer literacy
• Coding regulations
• Analytical Skills

Required Qualifications

• High School Diploma or GED required.
• Demonstrates strong knowledge and understanding of medical terminology, medical acronyms, pharmacology, anatomy and physiology and ICD-10-CM/PCS, DRG, and APR-DRG classification systems.
• Ability to complete and pass internal coding exam.
• Demonstrated proficiency in using coding software, electronic health records, and other health information systems.
• Demonstrated excellent communication, interpersonal, and analytical skills
• Ability to work independently and collaboratively in a fast-paced environment

Preferred Qualifications

• Associate degree or higher in health information management, health informatics, or related field. Degree must be obtained through an accredited institution. Education is verified.
• Demonstrated acute care facility coding experience which includes both ICD-10-CM & PCS coding with multidisciplinary service lines.
• Experience with EPIC EHR and 3M 360 CAC (Computer Assisted Coding), using 3M automation tools.

Physical Requirements

• Ongoing need for employee to see and read information, documents, monitors, identify equipment and supplies, and be able to assess customer needs.
• Frequent interactions with providers, colleagues, customers, patients/clients, and visitors that require employee to verbally communicate as well as hear and understand spoken information, needs, and issues quickly and accurately.
• Manual dexterity of hands and fingers to manipulate complex and delicate equipment with precision and accuracy. This includes frequent computer use for typing, accessing needed information, etc.
• May have the same physical requirements as those of clinical or patient care jobs when the leader takes clinical shifts.
• For roles requiring driving: Expected to drive a vehicle which requires sitting, seeing, and reading signs, traffic signals, and other vehicles.

Location: Peaks Regional Office

Work City: Broomfield

Work State: Colorado

Scheduled Weekly Hours: 40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$25.02 - $39.41

We care about your well-being mind, body, and spirit which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.

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All positions subject to close without notice.