Job Description:

This position uses extensive knowledge and expertise to work alongside and collaborates with Clinical Documentation Integrity (CDI) Registered Nurses (RN) and Intermountain Physician Advisors to review complex facility encounters and assign International Classification of Diseases ICD-10 and Diagnosis Related Groups (DRG) codes for claims concurrently while a patient is in a hospital. It ensures accurate capture of appropriate codes in support of the provision of value-based care by Intermountain Healthcare to appropriate populations. It ensures compliance and accurate submission of publicly reported data for all payers.

It assigns ICD-10 and DRG codes to identify key populations for care delivery improvement and accurate data for patient populations. It provides specific coding expertise in the various fields of NCCI edits, Drugs and Biologicals, Revenue Codes, Current Procedural Terminology (CPT) codes, ICD-10 codes, DRG’s, physiology and anatomy. It collaborates to identifies documentation gaps and analysis trends for documentation improvement. It actively researches and responds to coding questions received by facility caregivers including CDI RNs, Quality and Physician Advisor Services MDs.

This position supports higher level analytics for CDI initiatives. It also works to improve coding software workflows for optimization of reviews while patients are hospitalized. It aids in the review of quality measures including Patient Safety Indicators and Hospital Acquired Conditions to ensure documentation is in alignment with ICD-10-CM and Official Coding Guidelines as determined by Centers for Medicare and Medicaid Services (CMS), National Center for Health Statistics (NCHS), U.S. Federal Government’s Department of Health and Human Services (DHHS), American Hospital Association (AHA) and American Health Information Management Association (AHIMA).

This position provides advanced training to CDI RNs and Physician Advisor Services MDs on ICD-10 and DRG code assignment for hospitals. It develops, mentors and trains caregivers in CDI and physician roles in coding and ICD-10/DRG code assignment. It functions as a coding resource to Intermountain departments including Intermountain Physician Advisor Services and Quality.

Minimum Qualifications

Professional coding certificate through American Health Information Management Association (AHIMA).

AND

Six years work experience coding in an inpatient hospital setting.

AND

Demonstrated understanding of medical terminology, medical acronyms, anatomy and physiology.

AND

Demonstrated excellent written and verbal communication and presentation skills.

AND

Demonstrated knowledge of government benefits and regulations related to Medicare, Medicaid or the ACA.

AND

Demonstrated knowledge of queries.

Preferred Qualifications

RHIT Certification

OR

RHIA Certification

OR

Bachelor’s degree in a related field such as Business Administration, Health Care Administration, Heath Information Management.

AND

Advance expertise with national and local coding regulation entities (Medicare/Medicaid).

Physical Requirements:

Physical Requirements

To see the physical requirements needed to perform the essential functions of this job, please click here.

Interact with others requiring the employee to communicate information.

AND

Operate computers and other equipment requiring the ability to move fingers and hands.

AND

See and read computer monitors and documents.

AND

Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment.

Anticipated job posting close date:

06/26/2024

Location:

Key Bank Tower

Work City:

Salt Lake City

Work State:

Utah

Scheduled Weekly Hours:

40

The hourly range for this position is listed below. Actual hourly rate dependent upon experience.

$32.29 - $50.84

We care about your well-being – mind, body, and spirit – which is why we provide our caregivers a generous benefits package that covers a wide range of programs to foster a sustainable culture of wellness that encompasses living healthy, happy, secure, connected, and engaged.

Learn more about our comprehensive benefits packages for our Idaho, Nevada, and Utah based caregivers , and for our Colorado, Montana, and Kansas based caregivers ; and our commitment to diversity, equity, and inclusion .

Intermountain Health is an equal opportunity employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, age, sex, sexual orientation, gender identity, national origin, disability or protected veteran status.