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Coding Technical Analyst

Apply Job ID 2023-102062 Date posted 03/04/2023


The Coding Department Edit Resolution Analyst serves as a revenue cycle, technology and coding expert to the Coding team and leadership to answer questions, investigate accounts, identify system issues and test new functionality and updates, resolve billing/account edits and denials, and participate in improvement opportunities.


Core Responsibilites and Essential Functions

  • Serves as a resource for Coding functions such as inpatient/outpatient coding, edits, and other work queues as needed during high volume, absenteeism and other times
    * Codes/abstracts accounts
    * Works edit work queues
    * Works on misc work queues such as missing, missing phys, ready to code

  • Serves as a technology training resource for new contract and WellStar coders, mentoring them on processes and applications, and other questions as needed.
    * Ensures that new coders receive necessary Epic, 3M, tip sheets and other training and policies/procedures and other materials for reference.
    * Ensures that new coders have a resource they can reach out to with specific how-to questions about coding, the technology and other needs.
    * Provides Epic, 3M and other more detailed training such as webex training on various topics and procedures.
    * Participates in the development of communication and tools for all coders as needed.
    * Coordinates internal communications about downtimes, updates and new functionality and enhancements to the coders.

  • Assists Manager and Director with miscellaneous projects and implementations to ensure smooth operations and customer service.
    * Participates in or represents Coding in Epic and other application discussions of issues, resolutions, communicating them as needed.
    * Serves on work teams as needed for operational and technical projects to provide coding point of view.
    * Represents the Coding Department on all coding-related IT projects, sitting on project teams, coordinating and performing testing, and communicating issues and resolution.
    * Completes monthly, quarterly and other coding application testing including reviewing documentation, preparing test plans, testing, validating, and preparing training materials and communications for the Coding and stakeholder departments.

  • Supports coding operations by analyzing problem accounts and work queues for resolution for resolution.
    * Works the account work queues: Coding Supervisor Review, DNBS, Needs Coding Combined/Uncombined, Needs Coding Review, Denials, External Questions, and others as needed.
    * Works the edit work queues: Coding Manager WQ, Coding Review from RMD, and others as needed.
    * Monitors account and edit work queues for trends, past due, risks, backlogs or other problem accounts and reports to appropriate supervisor/manager as needed.
    * Works special reports such as no-work queue, high dollar, aging, etc.
    * Serves as a resource for other problem accounts and issues as needed.
    * Represents Coding on the daily CFB revenue cycle call as an active participant.

  • Required for All Jobs

  • Performs other duties as assigned

  • Complies with all WellStar Health System policies, standards of work, and code of conduct.

  • Qualifications

    Required Minimum Education

  • High school graduate Required or

  • GED Diploma from an accredited program Required and

  • Completed course in anatomy and physiology. Required

  • Required Minimum Experience

  • minimum 2 years of acute care coding experience Required and

  • minimum 1 year experience working and resolving coding/billing account edits and or/denials Required and

  • Computer/data entry experience. Required

  • Required Minimum Skills

  • Must have and maintain a 95% or higher accuracy in abstracting, code and DRG assignment while meeting productivity requirements

  • Ability to communicate with various members of the healthcare team.

  • Ability to use EXCEL, Word and have basic computer operational knowledge.

  • Required Minimum License(s) and Certification(s)

  • Cert Coding Spec 1.00 Required 1.00

  • Cert Prof Coder 1.00 Required 1.00

  • Reg Health Information Admin 1.00 Required 1.00

  • Reg Health Information Tech 1.00 Required 1.00

  • Additional Licenses and Certifications

  • AAPC Required
  • Apply