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Inpatient Coding Analyst
University Hospitals. Research, manage, and resolve pre-bill edits and pre-bill errors .
Core Competencies
Role fitCore Competencies
Use this summary to align your resume positioning with the role.
Demonstrates expertise in ICD-10 coding, surgical/procedure coding, and regulatory compliance while maintaining up-to-date knowledge of clinical practices. Strong communication, problem-solving, and client service skills are essential for effective collaboration and mentorship in a fast-paced healthcare environment.
Highest-signal resume keywords
ICD-10 Coding ExperienceSurgical/Procedure Coding ExpertiseRegistered Health Information Technologist (RHIT)Excellent Written and Verbal Communication SkillsHospital Revenue Accounting Experience
ATS Keywords
Tailor your resumeApplicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills
ICD-10 CodingCPT/PCS Code AssignmentClaims ReviewCoding Guidelines ResearchAnalytic ReviewsCoding Change RecommendationsPre-Certification ProcessesRegulatory CompliancePatient AccountingProblem-Solving
Soft Skills
Detail-OrientedOrganizedClient Service SkillsCommunication SkillsTeam Player
Tools & Technologies
Microsoft Office SuitePCsGeneral Office Equipment
Certifications & Qualifications
Registered Health Information Technologist (RHIT)Certified Coding Specialist (CCS)
Industry Keywords
Health Information Management (HIM)Regulatory Coding RequirementsPatient Health Information (PHI)Coding EducatorEthical Coding Standards
About the role
Key responsibilities & impact- Research, manage, and resolve pre-bill edits and pre-bill errors
- Conduct and facilitate activities related to regulatory coding requirements reviews, denials, surgery reservation CPT/PCS code assignment, and patient inquiries requiring coding review
- Review claims edits from different source systems through assigned work queues using coding and regulatory expertise
- Research coding and payer guidelines for claims denials
- Review coding, recommend updated coding changes, and provide appeal documents to the follow-up team
- Review surgery reservation forms and assign appropriate CPT/PCS and ICD-10 codes to initiate pre-certification
- Review Customer Service requests related to HIS coding disputes
- Perform analytic reviews of encounters generated by vendors or other external sources
- Maintain coding knowledge, credentials, and knowledge of regulatory and departmental guidelines
- Abide by AHIMA Standards of Ethical Coding
- Trend potential edits and work with the Coding Educator to develop training and ongoing education
- Participate in educational and informational activities and student mentorship programs
- Comply with policies and standards and protect patient PHI
Requirements
What you’ll need- Associate's Degree in HIM (Required)
- Bachelor's Degree in HIM (Preferred)
- 4+ years ICD-10 coding experience, preferably in a large academic medical center (Required)
- 3+ years with hospital revenue accounting, billing, reimbursement and/or patient accounting (Required)
- Experience working directly with physicians and others (Preferred)
- Expertise in surgical/procedure coding (Required proficiency)
- Thorough, up-to-date clinical skills and current working knowledge of pathology, pharmacology, surgical procedures, etc. (Required proficiency)
- Excellent written and verbal communication skills (Required proficiency)
- Ability to function independently and as a team player in a fast-paced environment (Required proficiency)
- Detail-oriented and organized, with good problem-solving ability (Required proficiency)
- Client service, communication, and relationship-building skills (Required proficiency)
- Ability to use PCs, Microsoft Office suite, and general office equipment (Required proficiency)
- Proven ability to work within multiple systems (Required proficiency)
- Registered Health Information Technologist (RHIT) or Registered Health Information Administrator (RHIA) certification (Required)
- Certified Coding Specialist (CCS) certification (Preferred)
- Ability to safely and securely maintain Protected Health Information (PHI)
- Travel requirement of 10%
Benefits
Comp & perks- Full-time regular employee status
- Remote work
- Annual training
- Educational and informational activities
- Student mentorship programs