Position Description

Self-Motivated leader with a collaborative mindset, driven to take initiative and build the department’s reputation of quality service. Ability to independently develop strategies, design solutions and establish processes, which contribute to team collaboration and department satisfaction.  Responsible for coding procedures to comply with federal/state regulations and internal hospital policies.  Coordinate with Department Managers and/or Practice Mangers to assure all necessary documentation is present to support selected procedure codes or to code cases as needed.   Perform audits to evaluate if all selected codes are accurate. 

 

PRIMARY DUTIES AND RESPONSIBILITIES 

Responsible for reviewing compliance regulations and coding requirements (primarily Medicare) and incorporates these changes into the coding process. Autonomously educates Department Managers, Practice Managers and/or providers on compliance and coding regulations. Independently coordinates with Department Managers, Practice Managers and/or providers on new procedures being performed to assure the charges are set up appropriately and timely and the staff responsible for entering charges is educated. Reviews procedure/surgical documentation and provides education surrounding necessary improvements to accurately code encounters. Assists in the development of Hospital System Policies relating to coding, documentation requirements and development of new charge items. Conducts audits to assure all documented charges are being captured and performs audits to confirm that charges are being billed correctly on the claim. Coordinates with the billing department to resolve any coding denial issues. Assists Chargemaster Coordinator in other projects and analyses.

Position Requirements

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION REQUIRED

 

B.S. degree in Nursing, Health Information Management, Healthcare Administration, Business Administration.  Relevant years of work experience in the range of 8 – 10 years may be substituted for a B.S. degree. Must have a coding or nursing credential (RHIA, RHIT, CPC, CCS, RN) or a financial background. Must have minimum of 3 years hospital and/or physician practice coding experience. Demonstrated communication skills and an ability to work independently and deal effectively with various types of personnel. Knowledge of Microsoft Office products. 

KNOWLEDGE SKILLS AND ABILITIES/LICENSE OR CERTIFICATION PREFERRED

 Three to five years experience in a hospital and/or physician practice setting.

Service Area Overview