Medical Records Coding Analyst, 20hrs/week, Lincoln

About the position Responsibilities • Reviews medical record documentation, assigns, and verifies ICD-10-CM diagnosis and procedure codes for all inpatient and outpatient diagnoses and procedures. • Utilizes an encoder to help ensure accurate and consistent code priority and DRG assignment, using all available references, edits and customized tips. • Translates clinical documentation using knowledge of anatomy, physiology, disease process and medical terminology. • Maintains disease and procedure indexes on all inpatients and outpatients by entering ICD-10-CM codes into the abstracting system. • Contributes to the completion of the Inpatient Rehabilitation Facility - Patient Assessment Instrument by selecting and entering assigned data fields. • Verifies that all medical records of admitted inpatients and registered outpatients are coded and abstracted. • Assigns ICD-10-CM codes to symptoms and/or diagnoses from all laboratory and radiology requisitions and enters ICD-10-CM codes in abstracting system where appropriate. • Reviews medical records concurrently and/or retrospectively and adds diagnosis and procedural codes to capture a complete picture of the patient's condition during their stay at Madonna. • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. • Keeps abreast of coding guidelines and reimbursement reporting requirements. • Completes continuing education to obtain/maintain certification status. • Assists with data collection and report completion for DRG analysis and qualifying diagnoses analysis. • Assists with preparation of medical records for review by various internal and external parties. • Communicates with appropriate individuals regarding the results of documentation and coding quality reviews. • Identifies learning opportunities and provides education to case managers, physicians and other clinicians based on coding and documentation reviews. • Provides access to medical records to authorized individuals. • Answers questions about the medical record content or patient stays at Madonna to authorized internal and external customers. • Follows instruction from Manager to perform other functions as assigned. Requirements • Advanced education from an AHIMA or AAPC accredited program. • One year ICD-10-CM coding experience with inpatient or outpatient records (preferred). • For Inpatient: CCS, and/or RHIT (AHIMA), AAPC certification CIC with application work experience. • For Outpatient: CCS, CCA or RHIT (AHIMA) or COC (AAPC). • Extensive knowledge of medical terminology, anatomy and physiology, disease pathology and coding principles. • Attention to detail. • Knowledge of Medicare and Medicaid regulations and resources. • Excellent reading, grammar, and organizational skills. Benefits • Part Time - Day