Analyst II - Health Information Management (HIM)

Job Summary: Reviews and evaluates hospital inpatient rehab medical record documentation to assign, sequence, edit and/orvalidatetheappropriateICD-10-CMandICD-10-PCScodes.Performs coding and/or code/DRG validation across multiple entities. Apply all appropriateICD-10-CMandPCScoding guidelines as well as IRF PAI guidelines when assigning codes. Adheres to Company Coding Compliance policies and procedures for the assignment of complete, accurate, timely, and consistent codes for diagnoses and procedures. Responsibilities · Assigns, sequences, validates, and /or edits codes/ DRGs and abstracted data (e.g., physician, discharge disposition, query tracking) for inpatient records for multiple facilities using ICD-10-CM and ICD-10-PCS to include: o Diagnosis description with appropriate 3–7-digit code assignment with corresponding Present on Admission (POA). o Procedure description with appropriate 7-digit ICD-10-PCScode, date and surgeon o Admitting Diagnosis. o Dischargedisposition. o Where applicable, complete the coding portion of the IRF-PAI. · Maintains or exceeds established accuracy standards. · Maintains or exceeds established productivity standards. · Utilizes the complete patient medical record documentation incode/DRGassignment, validation, and/or editing of codes/DRGs · Initiates, reviews, and/or edits physician queries in compliance with Company policy where appropriate. · Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current. · Follows all applicable coding guidance in assigning, sequencing, validation, and/or editing of codes/DRGs Meets all education a requirement as stated in current Company and HSC policy. · Practice and adhere to the “Code of Conduct” philosophy and “Mission and Value Statement” and other duties as assigned. Education: · College Degree (e.g., Bachelors, Masters, Doctorate) in a Health Sciences field required · Experience: · 4+ years of recent inpatient coding/DRG Coding experience strongly preferred Certificate/License: · CCS/or CIC preferred Knowledge, Skills and Abilities: · Proficient in ICD-10-CM, ICD-10-PCS, MS-DRGs, APR-DRGs, Present on Admission (POA) assignment, and IRF coding. Understands Official Coding Guidelines, CMS regulations, and documentation requirements. · Communicates clearly and professionally with physicians, CDI specialists, case managers, and other healthcare team members regarding documentation and coding questions. · Customer Orientation establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations. · Reviews medical records, interprets complex clinical documentation, identifies principal diagnoses and procedures, and applies coding guidelines accurately. · Initiative–independently takes prompt proactive steps toward problem resolution. · Organization–establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task. · Policies& Procedures- articulates knowledge and understanding of organizational policies, procedures and systems. · PC Skills- demonstrates proficiency in Microsoft Office applications and others as required. · Maintains high coding accuracy by thoroughly reviewing documentation, validating code assignments, ensuring correct DRG assignment, and following quality standards. · Performs coding responsibilities with minimal supervision while maintaining productivity, quality, and compliance standards.