Coding Compliance Coord

West Tennessee Healthcare
US - Pennsylvania - Whitehall
January 13, 2025
Legal

Category:
Admin Support

City:
Jackson
State:
Tennessee
Shift:
0 - Day (United States of America)

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 inservice 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 diagnosis and procedure coding, and other principles, concepts and techniques of Health Information Management. Such proficiency is acquired through the completion of a Baccalaureate or associate degree program in Health Information Management. An Associate's degree is required with a B.S. preferred. Certification as either an RHIA, RHIT, or CCS is required.

LICENSURE, REGISTRATION, CERTIFICATION:

Registration and/or certification as RHIA, RHIT or CCS by AHIMA.

EXPERIENCE:

Knowledge of Health Information Management practices, coding and coding guidelines, as acquired through RHIA, RHIT, or CCS credential, and 5+ year's of experience with CPT-4, and ICD-10-CM and ICD-10-PCS coding with emphasis on reimbursement issues with experience developing and presenting training programs essential.

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.

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.

Read the full job description and apply online on the recuiter's web-site

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