Coding Coordinator


  • Location: Denison, IA

  • Posted: Mar 5, 2019

Job Description


Under general supervision and according to established procedures, provides technical support to the Coding Staff and coordinates daily work-flow based on the needs of the department.  On a regular basis, provides the Director of Revenue Cycle with departmental statistics such as the monitoring/tracking of outpatient coder productivity and uncoded figures.  Works with the Director of Revenue Cycle to identify and resolve coding issues. Coordination and distribution to the coding staff of claim denials received from Patient Accounts and/or other sources.  Serve as the primary contact for outside departments for coding related issues. Also responsible for compliance related to patient health information privacy laws. Provides coding support as directed by the Director of Revenue Cycle.

Hours: Typically 8:00 am - 4:30 pm

Essential Duties and Responsibilities:

  • Provide direction, assignments, feedback, coaching and counseling to assure departmental outcomes are achieved.
  • Ensure staff achieve and maintain proper certification.
  • Monitor providers and/or facility coding and billing activities through quality assurance and productivity reviews to ensure compliance with all rules and regulations in a timely manner.
  • Provide education and training to providers and staff as a part of quality assurance program for proper coding of medical charges bill by Crawford County Memorial Hospital.
  • Provide education and training when deficiencies are identified or new processes are implemented.
  • Prepare reports to assure quality and productivity expectations are being met.
  • Review medical record documentation and assign appropriate codes in accordance with coding/compliance policies, official coding, payor and regulatory guidelines as needed.
  • Incorporate initiatives that improve compliance and reduce risks to the hospital.
  • Serve as resource and technical expert for complex coding issues.
  • Work with staff to suggest additional avenues to resolve coding issues.
  • Communicate with coding staff to address and resolve patient account issues.
  • Advise staff and management regarding claim edits, denials and payment trends.
  • Prepare and distribute reports to summarize the results of department coding activities.
  • Provide developmental and administrative assistance and expertise for data analysis, trending and payer regulations/policies.
  • Works cooperatively with the Director of Revenue Cycle and other applicable organization units in overseeing patient rights to inspect, amend, and restrict access to protected health information when appropriate.
  • Performs initial and periodic information privacy risk assessments and conducts related ongoing compliance monitoring activities in coordination with the entity’s other compliance and operational assessment functions.
  • Implement new processes and targets developed by management.
  • Ensure processes for charge capture, charge processing are operating effectively.
  • Assist in planning and implementing various computer applications, software, databases and bolt on products.
  • Gather information for submittal and respond to benchmark surveys or questionnaires required by external agencies.
  • Prepare reports to assure quality and productivity expectations are being met.

 

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Non-Essential Duties and Responsibilities:

  • Perform other duties as assigned

                                                                                                             

Professional Requirements

  • Complete annual education requirements.
  • Maintain patient confidentiality at all times.
  • Report to work on time and as scheduled.
  • Wear identification while on duty.
  • Maintain regulatory requirements, including all state, federal and local regulations.
  • Represent the organization in a positive and professional manner at all times.
  • Comply with all organizational policies.
  • Conduct oneself as a professional in accordance with PRIDE values.
  • Participate in performance improvement and continuous quality improvement activities.
  • Attend regular staff meetings and in-services.

 

Core Competencies

  • Two years of medical coding experience.
  • Knowledge, understanding and experience with CMS regulations or industry standards.
  • Knowledge of anatomy and physiology.
  • Medical terminology knowledge.
  • Proficiency with standard office computer software applications (i.e. Microsoft Office Suite)
  • Excellent, professional verbal and written communication skills to provide outstanding customer service.
  • Demonstrated ability to work effectively in ambiguous and complex situations and to drive for conflict resolutions in positive, professional manner.
  • Ability to prioritize and coordinate inquiries from patients, staff and administration.
  • Excellent analytical skills and a strong attention to detail with accuracy with the ability to achieve or exceed organizational and individual performance goals.

 

Education/Certification Requirements:

  • Bachelor's degree in Health Information Management (HIM) or related field, preferred
  • Certification such as an RHIT, RHIA, CPC, CCS, CCSP or equivalent through a nationally recognized credentialing body such as AHIMA or AAPC.
  • Supervisory experience (typically 1 or more years supervising medical coding and/or billing).

Physical Requirements:

  • Climate Conditions: Normally works in a climate controlled environment
  • HAZMAT: Not normally expected to be exposed to hazardous material

 

 

Rarely

(0-12%)

Occasionally

(12-33%)

Frequently

(34-66%)

Regularly

(67-100%)

Eyesight

   Acuity, Near

 

 

 

X

   Acuity, Far

X

 

 

 

   Depth Perception

X

 

 

 

   Color Vision

X

 

 

 

   Field of Vision

X

 

 

 

Hearing:

   Ordinary Sounds

X

 

 

 

   Other Sounds

X

 

 

 

Speaking

 

X

 

 

Standing/Walking

 

X

 

 

Climbing / Stooping / Kneeling / Bending

X

 

 

 

Lifting (up to 30 pounds)

X

 

 

 

Pulling (up to 20 pounds)

X

 

 

 

Pushing (up to 20 pounds)

X

 

 

 

Keyboarding

 

 

 

X

Fine motor skills

 

X

 

 

Grasping / Feeling

 

 

X

 

Sitting

 

 

 

X

Crawford County Memorial Hospital

100 Medical Pkwy
Denison, IA 51442

Opened: 1951

Phone: (712) 265-2508

Web: http://www.ccmhia.com

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