Inpatient Coder - Clinical Data Analyst

Job Description

Be a part of a world-class academic health-care system at UChicago Medicine as an Inpatient Coder - Clinical Data Analyst in the Medical Records department. This is a remote, work from home opportunity, and you may be based outside of the greater Chicagoland area.

In this role, the Inpatient Coder - Clinical Data Analyst, under general direction, is responsible for coding and abstracting diagnoses and procedures from inpatient and outpatient medical records for optimal and timely reimbursement and quality reporting.

Essential Job Functions

• Assigns ICD-10-CM/PCS codes and assigns DRGs for inpatient medical records accounts; assigns ICD-10-CM/PCS codes and CPT codes for outpatient medical record accounts
• Abstracts key data elements required for billing
• Reviews records for clinical pertinence
• Interacts with providers for clarification of documentation/education
• Abstracts and codes records, for patient currently in the Hospitals, for interim billing purposes
• Reviews records according to pre-established criteria for referral to physician reviewers
• Communicates with the medical staff in order to ensure appropriate assignment of principal and secondary diagnoses and procedures
• Maintains CE credits in accordance with the American Health Information Management Association's requirements

Required Qualifications

• Associate or bachelor's degree
• Certification as a Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) required or Certified Coding Specialist (CCS)
• Must have thorough working knowledge of ICD-10CM/PCS and CPT coding systems, DRG systems and federal/state regulations regarding reimbursement
• Must have a thorough working knowledge of the hospital information system, electronic medical record systems and encoder; must have working knowledge of JCAHO standards for chart completion
• Must have a working knowledge of medical-legal rules and regulations that govern the confidentiality and release of medical information with the ability to interpret and implement the standards; must maintain total confidentiality of all patient records; and PC experience

Position Details

Job Type/FTE: Full Time (1.00 FTE)

Shift: Days

Location: Remote

Unit/Department: HIM Coding/CDI

CBA Code: 743 Clerical