Supervises, develops and coaches the coders, motivating and supporting others in overcoming barriers to understanding.
Assists with the Coding Quality Review Program, collaborating with the Coding Quality Auditor to sustain an excellent organizational average accuracy rate while maintaining adherence to corporate compliance.
Performs data quality reviews on inpatient records to validate the ICD-9-CM/PCS or ICD-10-CM and ICD-10-PCS appropriateness; reviews the chart for missed secondary diagnoses and procedures, verifies DRG appropriateness, and ensures compliance with all coding guidelines and reporting requirements.
Monitors Medicare and other DRG bulletins and manuals, for upcoming coding and compliance information. Monitors inpatient case mix reports and top DRGs in the facility to identify patterns, trends and variations in the facilityâ™s frequently assigned DRG groups.
Drives operation efficiency and sustains excellence in coding workflow with accountability for meeting and exceeding established DNFB and accuracy goals. Maintains appropriate scheduling to ensure appropriate work flow and limitation of the use of overtime and utilizing contract help when appropriate. Monitors individual and overall productivity, working to remove barriers and coaching team members on efficiency.
Provides positive morale maintenance on a routine basis. Fosters positive relationship with fellow workers. Contributes to and promotes departmental performance improvement initiatives and employee engagement.
Works in conjunction with the Coding Manager to provide in-services and continuing education to the inpatient coding staff, physicians, and departments as needed.
Participates in job interviewing, testing and selection of new employees; maintains positive morale maintenance in coding and contributes to and promotes departmental performance improvement initiatives and employee engagement
Completes the required internal audit requirements for the Coding Corporate scorecard monthly.
Collaborate and serves as a resource to other departments in the Revenue Cycle to ensure business continuity and optimal revenue cycle management. Handles inpatient requests for coding review by other departments/individuals (Patient Financial Services (CBO), Case Management, Revenue Integrity, Quality)
Uses critical thinking and sound judgment in decision making; keeping reimbursement considerations in balance with regulatory compliance
Assumes personal responsibility for professional growth, development and continuing education to maintain a high level of proficiency
Maintains the confidentiality of employees, patients, administrative staff and medical staff information with no infractions
Performs other duties as assigned
What will you need?
Excellent communication skills
Exhaustive knowledge of inpatient coding and working knowledge of ICD-9-CM, ICD-10CM, ICD-10- PCS, HACs and PSIs.
3-5 years of coding experience in an acute care hospital with cases involving a more complex level of coding. All candidates must be able to pass a coding proficiency test with 80% or above.
Completion of a Coding program with CCS or CPC certification and a high school diploma. Applicant will be required to complete an Associateâ™s degree in HIM related field within 2 years of hire.
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