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The Clinical Coding Analyst, Hospital is responsible for the testing and validation of the LifeCode engine. LifeCode is computerized software that utilizes state-of-the-art Natural Language Processing (NLP), to ensure high quality ICD-9-CM and CPT code assignment. The chosen candidate will be part of the production team and will work closely with the NLP engineering staff. As a subject matter expert (SME) this person will assist with product implementation, customer support and sales. This position will report directly to the Coding Manager-Hospital.

Responsibilities of the Clinical Coding Analyst, Hospital:

Collaborates with product management and the development team on the impact of longer terms trends related to new coding guidelines, quality reporting, pay-for-performance and new technology.
Suggests product enhancement ideas based on subject matter expertise in hospital coding and billing.
Defines requirements for ICD-9-CM, ICD-10-CM, ICD-10-PCS,CPT and HCPCS code development for periodic releases of the LifeCode engine.
Works with the NLP (Natural Language Processing) team on hospital coding development.
Provides detailed coding feedback on regression and functional tests using Windows based quality assurance software.
Specifies requirements for document filtering to optimize performance of the LifeCode engine for ICD, CPT and HCPCS coding.
Analyzes coded data and clinician documentation to provide relevant examples for the NLP development team and provide feedback for customer service and sales.
Applies coding principals and guidelines in the assignment of diagnosis and procedure codes.
Applies knowledge of medical terminology, anatomy, physiology and pathophysiology in the assignment of appropriate codes.
Acts as a resource for coding questions and related issues internally.
Maintains all certification CEU’s.

Qualification

Required:

Must have at least one of the following: CPC, CPC-H, CCS, CCS-P.
10 years of continuous hospital coding/abstracting experience *Must have recent experience within the last 7 years*.
Must satisfactorily complete a coding assessment.
Strong working knowledge of inpatient and outpatient hospital coding and billing.
Experience in coding of multiple outpatient specialties such as: radiology, emergency medicine, and same-day surgery.
Demonstrated ability to understand clinical content of a health record.
Must have Strong Technical Knowledge of: Healthcare domain and/or Hospital Encoder.
Strong computer proficiency with MS Word and Excel.
Ability to Work At Home Job effectively within a team.
Ability to communicate effectively with linguists and other coders to clarify development output of diagnoses/procedures and sequencing of same.
A working knowledge of healthcare, hospital, billing companies, medical record coding and auditing.
Strong organizational and time management skills.

Preferred Qualifications:

Bachelor’s Degree
RHIT and/or RHIA accreditation

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