Coding Analyst (Fort Worth, TX)

Reviews and interprets patient medical record documentation to identify pertinent diagnoses and procedures and assigns ICD-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records. Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy.

Paladin Consulting is currently hiring a Coding Analyst to join our team working onsite at our client's office located in Fort Worth, TX.

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Job Title: Coding Analyst
Work Location: Fort Worth, TX
Duration: 6 month contract
Education/Experience Required: Minimum of two (2) years of current, full-time coding experience. Required certification: RHIA, RHIT, CCS, or CPC. Must provide current AHIMA continuing education certification records.

Job Description &

• Requires advanced 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-10-CM and CPT 4 codes accurately and timely to the highest level of specificity based upon physician documentation for ambulatory surgery, special procedure, observation, emergency department, outpatient ancillary and clinic visit records.
• Primarily codes complex ambulatory surgery and observation visit 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.
• Assists with coding outpatient ancillary clinic, specialty clinic and emergency room record coding as necessary.
• Minimum expected accuracy rate for all coding assignments is 95%.
• Communicates with physicians and other providers regarding documentation requirements and collaborates with Clinical Documentation Specialists on patient cases regarding documentation needs and requirements, and coding assignment accuracy.
• Maintains current knowledge of coding and documentation changes, rules and guidelines.

Responsibilities :

• Coding: Reviews and interprets health record documentation to identify pertinent diagnoses and procedures, assign ICD-10-CM and CPT 4 codes to the highest level of specificity. Apply coding rules and policy guidelines primarily for ambulatory surgery, special procedure and observation cases, and also, when required, may assist with coding of emergency department, outpatient ancillary/clinics visit records.
• Abstracting: Accurately identifies and abstracts required medical record documentation data and enters into the electronic health record system.
• Physician Communication: Submits physician query post discharge to request clarification and/or additional documentation to ensure appropriate documentation for accurate coding.
• Appropriately identifies and reports documentation and risk management issues

Skills & Qualifications :

Required Skills & Experience:

• RHIA, RHIT, CCS or CPC with two (2) year minimum current full-time ICD-10-CM & CPT-4 hospital outpatient ambulatory surgery and observation cases and abstracting experience required.
• Technically competent and fluent knowledge in navigation of electronic health record applications, automated encoders, and other software applications and hardware required for job role required.
• Ability to work well independently and productively with minimal guidance and without direct supervision.
• Must be highly detail oriented, have the ability to remain focused with good organization, interpersonal and communication skills.
• Ability to maintain confidentiality.
• Goal oriented, flexible and energetic.
• Demonstrates coding skills, and critical thinking skills.
• Ability to solve problems appropriately using job knowledge and current policies and procedures.
• Demonstrated coding knowledge and proficiency is required through on-site skills assessment with a passing score of 90% prior to hire.

Required Certifications & Licensure:

• Licensure, Registration, and/or Certification: Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT), Certified Coding Specialist (CCS) or Certified Professional Coder (CPC) required.
• Required to provide current American Health Information Management Association (AHIMA) continuing education certification records.

Preferred Skills & Experience:

• Pediatric coding experience highly desired.
• Experience using Microsoft Office Excel and Word highly desired.

For more information or to view other opportunities, visit us at www.paladininc.com.

Paladin Consulting is an EEOC employer.