Job Description:
This position is responsible for reviewing clinical documentation and assigning ICD-10-CM diagnosis, PCS procedure codes, and the DRG to ensure proper reimbursement for complex inpatient accounts. Requires extensive knowledge and understanding of ICD-10-CM/PCS coding guidelines, MS-DRG and APR-DRG reimbursement systems, medical terminology, and disease processes. Works closely with Clinical Documentation Integrity and clinicians to ensure complete and accurate documentation, coding, and final DRG assignment. Adheres to the quality and productivity standards set by the department.
Education Qualifications:
Key Responsibilities:
Evaluates health record documentation and accurate reimbursement by ensuring that ICD-10-CM diagnostic and PCS procedural codes accurately reflect and support the inpatient hospital admission
Identifies documentation clarification opportunities to ensure that documentation supports the coding and DRG assignment. Initiates coding queries and provides feedback to clinicians
Reviews Local Coverage Determination (LCD)/National Coverage Determination (NCD) policies for ICD-10-CM diagnoses that support medical necessity for services provided
Works with the coding denials team for education and assists with DRG denial prevention solutions
Ensures inpatient accounts are coded accurately and in a timely manner
Consistently maintains coding quality (95% accuracy) and productivity expectations
Assists with the training of inpatient coders
Performs related duties as required
Educational Requirements:
Required Qualifications:
Two (2) years of hospital inpatient/DRG coding experience
Passing score on the Essentia Health senior inpatient coding skills assessment
Preferred Qualifications:
Epic experience
3M Encoder experience
Computer Assisted Coding experience
Licensure/Certification Qualifications:
Certification/Licensure Requirements:
Employee Benefits at Essentia Health: At Essentia Health, we're committed to supporting your well-being, growth, and work-life balance. Our comprehensive benefits include medical, dental, vision, life, and disability insurance, along with supplemental options to fit your needs. We offer a 401(k) plan with employer contributions to help you plan for the future, and we invest in your professional development through training, tuition reimbursement, and educational programs. To help you thrive both at work and at home, we provide flexible scheduling, generous time off, and wellness resources focused on your physical, mental, and emotional health. Please note that benefit eligibility may vary. For full details, refer to your benefit summary or contact our HR Service Center at (218) 576-0000.
Job Location: Business Service Center
Shift Rotation: Day Rotation (United States of America)
Shift Start/End: Days/Days
Hours Per Pay Period: 80
Compensation Range: $24.79 - $36.66 / hour
Union: DC USWA Main & Neighborhoods (DCUMN)
FTE: 1
Weekends: NO
It is our policy to afford EEO to all individuals, regardless of race, religion, color, sex, pregnancy, gender identity, national origin, age, disability, family medical history, genetic information, sexual orientation, marital status, military service or veteran status, culture, socio-economic status, status with regard to public assistance, and other factors not related to qualifications, including employees or applicants who inquire about, discuss, or disclose their compensation or the compensation of other employees or applicants, or membership or activity in a local human rights commission, or any other category as defined by law.