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Job Type:
RegularScheduled Hours:
40Job Summary:
This position is responsible for answering coding questions and to assist with physician queries, train new employees in coding and abstracting rules and guidelines, assist with denied or rebilled claims whether internal or external; assist with claim edits and will code as necessary.Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background.
Job Description:
Responsible for answering coding questions. Research coding questions based on thorough review of documentation and coding guidelines and official sources. May also assist Coding Manager and Patient Financial Services with questions or denied claims.
Responsible for follow-up on and reinforcement of training with all new associates in inpatient/outpatient coding. Assists in monitoring and reporting on new associate's accuracy levels and productivity averages following their training period. Provides feedback to associates.
Codes as necessary to facilitate management of Accounts Receivables
May assist with clinical documentation improvement program. Coordination of documentation necessity of services and follow-up on CDI stop bills.
Assist HIM Compliance with coordination and presentation of coding continuing education.
Assist Corporate Coding Manager with external reviews, studies, audits of the coding area, case mix index studies, MS-DRG (APR-DRG), APC, CCI changes, TJC preparation, policy and procedure updates, reports, workflow management, etc. May assume some managerial responsibilities in the absence of the coding manager. Must possess good organizational and communication skills. Must be self-motivated and self-directed.
May assist with routine internal coding audits of all inpatient/outpatient coders for accuracy including providing feedback and education.
Assist coders with physician query structure, assignment and follow-up. Send queries as needed. Perform routine query audits and provide feedback to coders and coding leadership.
Assist with CDM and Billing Follow-up teams edit resolution.
Performs other duties as assigned.
Education, Credentials, Licenses:
Associate or bachelors degree (or equivalent hospital coding experience)
CCS, CPC-H, RHIT, RHIA credentials
Specialized Knowledge:
- Prospective Payment Systems, ICD/CPT/HCPCS coding systems. Use of personal computer, use of Windows applications.
- Exceptional verbal/written communication skills.
- Knowledge of encoding/abstracting/grouping/compliance software.
- Patient customer service.
Kind and Length of Experience:
Three years of experience including: Production coding
DESIRABLE
- Quality review/auditing experience.
- Familiarity with documentation improvement initiatives.
- Experience developing policies/procedures/coding guidelines.
- Experience preparing/presenting in-service education.
More than five years coding experience. Denials Management experience. One year in a lead role or other supervisory type role.
FLSA Status:
Non-ExemptRight Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community.
