Job Description:

Facility: VIRTUAL-GA




Job Summary:



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 Responsibilities 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 Minimum Education:



High school graduate Required or
GED Diploma from an accredited program Required and
Completed course in anatomy and physiology. Required



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

All certifications are required upon hire unless otherwise stated.

• Cert Coding Spec or Cert Prof Coder or Reg Health Information Admin or Reg Health Information Tech

Additional License(s) and Certification(s):



AAPC Upon Hire 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 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. Apply Now