Coding Analyst

Northside Hospital; Atlanta (GA); On-site; USD 60,000 - 80,000; Full time

Job summary

Northside Hospital is seeking a skilled coding specialist to ensure compliance with federal and state regulations. The role involves reviewing documentation, educating staff, and conducting audits on coding accuracy.

Candidates should possess a B.S. degree in a relevant field or equivalent experience, and must hold a coding or nursing credential. Experience in a hospital setting is preferred, with a focus on detail and communication.

Qualifications

• 8-10 years of relevant work experience may substitute for a B.S. degree.
• Must have a coding or nursing credential (RHIA, RHIT, CPC, CCS, RN) or a financial background.
• Minimum of 1 year hospital and/or physician practice coding experience.

Responsibilities

• Coordinate with Department Managers to ensure proper documentation.
• Conduct audits to confirm accurate coding and billing.
• Educate staff on compliance and coding regulations.

Skills

Communication skills

Coding expertise

Microsoft Office proficiency

Education

B.S. degree in Nursing, Health Information Management, Healthcare Administration, or Business Administration

Job description

Northside Hospital is award-winning, state-of-the-art, and continually growing. Constantly expanding the quality and reach of our care to our patients and communities creates even more opportunity for the best healthcare professionals in Atlanta and beyond. Discover all the possibilities of a career at Northside today.

Responsible for coding procedures to comply with federal/state regulations and internal hospital policies. Coordinate with Department Managers and/or Practice Managers to assure all necessary documentation is present to support selected procedure codes or to code cases as needed. Perform audits to evaluate if all selected codes are accurate.

PRIMARY DUTIES AND RESPONSIBILITIES

1. Responsible for reviewing compliance regulations and coding requirements (primarily Medicare) and incorporates these changes into the coding process.
2. Educates Department Managers, Practice Managers and/or providers on compliance and coding regulations.
3. Coordinates with Department Managers, Practice Managers and/or providers on new procedures being performed to assure the charges are set up appropriately and timely and the staff responsible for entering charges is educated.
4. Reviews procedure/surgical documentation and provides education surrounding necessary improvements to accurately code encounters.
5. Assists in the development of Hospital System Policies relating to coding, documentation requirements and development of new charge items.
6. Conducts audits to assure all documented charges are being captured and performs audits to confirm that charges are being billed correctly on the claim.
7. Coordinates with the billing department to resolve any coding denial issues.
8. Assists Chargemaster Coordinator in other projects and analyses.

REQUIRED

1. B.S. degree in Nursing, Health Information Management, Healthcare Administration, Business Administration. Relevant years of work experience in the range of 8 - 10 years may be substituted for a B.S. degree.
2. Must have a coding or nursing credential (RHIA, RHIT, CPC, CCS, RN) or a financial background.
3. Must have minimum of 1 year hospital and/or physician practice coding experience.
4. Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel.
5. Knowledge of Microsoft Office products.

PREFERRED

1. Three to five years experience in a hospital and/or physician practice setting.