Inpatient Coding Coordinator - Remote - Hurley Medical Center : Job Details

Job DescriptionProvides coding education to coders and others regarding documentation, reimbursement and data interpretation for inpatient and outpatient coded data. Provides one-on-one as well as virtual classroom education. Acts as a coding expert resource and works coding denials. Conducts the quality review of inpatient and outpatient coding; maintains up-to-date coding guidelines and coding policy changes. Develops process improvement activities based on audit results. Monitors coding work queues, productivity and quality. Works under the direction of the Director of Coding and CDI or designee who reviews work for effectiveness and compliance with established standards, policies, and procedures.Responsibilities

Analyzes and evaluates clinical and operational systems relative to inpatient and outpatient reimbursement through chart review and other special study methods..

Makes recommendations for data quality improvements and revenue enhancements.

Monitors coding compliance via pre-billing and/or post bill coding audits, DRG and APC quality audits, case mix analysis, and compliance software reviews and through other methods.

Provides feedback to the coding management team and staff regarding ICD-10-CM/CPT-4 or ICD 10 CM/PCS coding and DRG/APC assignment and related clinical documentation..

Develops and maintains inpatient and outpatient electronic coding manuals to support quality coding on the appropriate electronic site.

Assists with and/or provides suggestions for continuing education topics and issues for coding staff.

Educates groups and individuals within Patient Financial Services regarding coding, DRG and APC assignment and the reimbursement process.

Interacts and educates coding staff and CDI staff on coding related topics9. Develops and maintains Hurley Medical Center Hospital Based (HB) coding guidelines in accordance with Official Coding Guidelines.

Provides coder education on all relevant issues which will impact technical coding.

Provides orientation and trains HB Coding staff.

Interfaces with Patient Accounting, Medical Records, and others to ensure post discharge completion of all information necessary to generate timely billing.

Assists with the analysis of statistical reports.

Monitors coder productivity and quality; reporting results to coders and administration

Supports coding program initiatives.

Promotes good morale and cooperation; encourages others and values their input; Shares information and seeks ways to add value both to the customer and to the team.

Acts as a liaison among all department managers, staff, physicians and administration with respect to coding issues.

Anticipates and responds to changing skills requirements.

Seeks opportunities to learn new skills, coaches and encourages team members to do the same.

Integrates team into the coding process to promote their development.

Complies with Hurley Medical Center and departmental policies and procedures consistently.

Completes mandatory education and training in order to maintain organization and department-specific competencies and requirements.

Other duties as assigned.

Qualifications

Bachelors or Associates degree in health information management or related field.

A minimum of three years of experience in a clinical environment involving the accurate interpretation and coding/abstraction of therapeutic/diagnostic measures and procedures of a diverse patient population. A Bachelor's Degree in Health Information Management may substitute for up to one year of required experience.

Auditing experience or knowledge of the auditing process, purpose and outcomes.

In-depth knowledge of ICD-10-CM/PCS coding principles, DRG assignment, APC assignment, and modifier assignment.

Knowledge of Epic and 3M preferred

Ability and willingness to learn and adapt.

Ability to communicate effectively in oral and written modes.

Ability to interact courteously and effectively with all levels of the Medical Center staff, patients, medical staff, external agency representatives, and the general public.

Formal coursework in anatomy, physiology and medical terminology in order to accurately interpret the medical record.

Working knowledge of both personal computer applications and mainframe computer systems.

Excellent verbal and written communications.

Must be detail oriented and analytical in nature.

NECESSARY SPECIAL QUALIFICATIONS:

Certification as an RHIA or RHIT Requires Certified Coding Specialist (CCS)