Coding Compliance Coord

Category:

Admin Support

City:

JacksonState:

TennesseeShift:

8 - Day (United States of America)

Job Description Summary:

Responsible for coordinating coding compliance functions, education of coding specialists, demonstrating competence in all duties of the manager and staff members, and assisting in these duties as requested. Under the general supervision of the Manager of Coding, assists Manager with leadership and responsibilities as required. Employee is subject to call back and overtime as required by the hospital.

ESSENTIAL JOB FUNCTIONS:

• Be prepared and able to assume leadership and all responsibilities of the Coding Manager (including training and scheduling) as required.
• Perform audits of all coding specialists, internal and contract, for patterns of coding errors and identify opportunities for coding education.
• Assist with external coding audits by reviewing findings and ensuring timely completion by the coding specialists.
• Provide ongoing education to coding specialists from internal and external audit findings.
• Provide education and training to coding specialists for level advancement and to newly hired coding specialists.
• Assist with payer denials and the appeals process.
• Assist with resolution of billing edits and identify trends and coding errors to share with the coding specialists.
• Identify documentation opportunities in the medical record and report trends and deficiencies to the Coding Manager.
• Work with the medical staff on medical record documentation opportunities and query completion to improve accuracy of code assignment.
• Assist with updating coding policies and procedures.
• Demonstrate competence in all duties of the coding area including advanced knowledge of ICD-10-CM, ICD-10-PCS, and CPT-4 coding systems.
• Assist Manager of Coding with leadership and responsibilities as required.
• Participate in in-service programs to improve knowledge of coding of medical records and hospital mandatory continuing education.
• Performs related responsibilities as required or directed.

JOB SPECIFICATIONS:

EDUCATION:

• Skill and proficiency in the principles, concepts, and techniques of Coding (ICD-10 & CPT-4). Such proficiency is normally acquired through the completion of a BS or Associates degree in Health Information Management or 3-5 years of hospital coding experience. Certification as either an RHIA, RHIT, or CCS is preferred.

LICENSURE, REGISTRATION, CERTIFICATION:

• Current registration with the American Health Information Management Association as a Registered Health Information Management Administrator, Registered Health Information Technician, Certified Coding Specialist, or Certified Coding Associate.

EXPERIENCE:

• Knowledge of Health Information Management practices, prospective payment system, DRG reimbursement, Joint Commission requirements, and all State and Federal regulations affecting the medical record function, proficiency in coding diagnoses and procedures. Management experience in Health Information Management preferred or 3-5 years of hospital coding experience.
• Knowledge of Hospital and department policies and procedures, Medical Staff, and forms as acquired through 3-6 months of work experience.

KNOWLEDGE, SKILLS AND ABILITIES:

• Extensive knowledge of computer applications (Microsoft Windows, computerized equipment, etc,) a must. Ability to navigate through the computer (software and hardware) and recognize potential issues.

INTERPERSONAL REQUIREMENTS:

• Communication skills with the Medical Staff, other healthcare disciplines, and physician office personnel for exchange of information concerning coding validation, DRG optimization and APC assignment.
• Contributes to a positive work environment and the overall team effort of the department.

DIRECTION/SUPERVISION REQUIREMENTS:

• Ability to supervise and train coding specialists.

NONDISCRIMINATION NOTICE STATEMENT

We are an equal opportunity employer and all qualified applicants will receive consideration for employment without regard to race, color, ethnicity, disability, religion, national origin, gender, gender identity, gender expression, marital status, sexual orientation, age, protected veteran status, or any other characteristic protected by law.