HIM Coding Technician, Inpatient Lead, Finance (Full time: Days)
Rochester Regional Health

Description

Position Summary:
The Inpatient Lead Coder is responsible for the day to day oversight of inpatient coding functions including work assignments, new employee orientation and training, and monitoring of accounts receivable. The lead coder ensures staff has clear direction on code assignment and Present on Admission (POA) indicators based on ICD-9/10-CM & PCS official Guidelines for Coding and Reporting as well as facility specific coding guidelines developed in collaboration with the Coding Educator. Assists staff with coding inquiries, coding and reimbursement edits and software system issues or enhancements. The lead position must be demonstrate expertise in coding, abstracting and DRG assignment across all inpatient settings and provides cross-coverage as needed. Identifies and resolves errors in the coding process using denial information, SPARCS edits, and external audit results and provides feedback to staff. Responds to coding denials related to DRG assignment in a timely fashion. Collaborates with CDMP Manager to ensure optimal DRG assignment and feedback is provided to Clinical Documentation Improvement Specialists. Participates in the CDMP Steering Committee, Utilization Management Committee, and RAC Rapid Response team by providing insight on identified areas of opportunity. Supports the Coding Manager in preparing staff for ICD-10-CM/PCS and associated conversion activities. Provides input to the Coding Manager regarding staff performance evaluations.

JOB TITLE: HIM Coding Technician Impatient Lead, Finance. Remote (Full time: Days)
DEPARTMENT: Finance

LOCATION: Riedman Remote

HOURS PER WEEK: 40

SCHEDULE: 7:00-3:30 pm

Key Responsibilities:

• Abide by the standards of Ethical Coding as set forth by the American health Information management Association and adhere to official coding guidelines.
• Oversees and prioritizes daily work assignments for outpatient coding staff. Monitors the Discharged Not Final Billed (DNFB) for backlogs and re-assigns work as needed. Ensure cross-coverage in the case of absence or cross-coverage. Escalates issues of incomplete charts or coding queries to management.
• Assists Coding Manager with new employee and or student internship orientation, training, and ongoing development of coding skills. Provides authoritative guidance for complex coding scenarios.
• Assure that assigned accounts are coded timely and productivity standards are met. Collects, validates, and tracks productivity measures as part of departmental key metrics.
• Coordinates external audits including identification of accounts and preparation of charts. Organizes review of findings and coordinates responses and corrections.
• Assign all ICD-9-CM & ICD-10-CM/PCs codes, POA indicators, and discharge dispositions with accuracy. Stays abreast of current changes or interpretation of codes. Brings identified concerns to Coding Manager or HIM Director for resolution.
• Keeps Coding Manager abreast of any potential trends that require re-education or coordination with the Corporate Compliance Department, RAC Response Team, or CDMP Steering Committee.
• Demonstrates competency in the use of computer applications, grouper software, and all coding and abstracting hardware/software currently used by the HIM Department.
• Query physicians when code assignments are not straight forward or documentation in the record is inadequate, ambiguous or unclear for coding purposes.
• Responsible for reviewing and responding to DRG denial data from various sources. Works with physician representatives to obtain any needed information. Tracks and reports any trends identified Follows up with coding staff when coding errors are identified and provides necessary education
• Actively participates in CDMP steering committee, RAC Rapid Response team, and Utilization Management Committee, providing coding expertise as necessary.
• Provide management recommendations for process improvement
• Complete duties as assigned by management staff.

Minimum Qualifications:

• Associates Degree required; Bachelor's Degree preferred.
• Five years experience as inpatient coder working with State, Federal and payor specific regulations pertaining to documentation, coding and billing.

Required Licensure/Certification Skills:

• RHIA/ RHIT Certification
• CCS or CCS eligible

Rochester Regional Health System is an Equal Opportunity / Affirmative Action Employer. Minority/Female/Disability/Veteran

EDUCATION:

• AS (Required)

PHYSICAL REQUIREMENTS: S - Sedentary Work - Exerting up to 10 pounds of force occasionally Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.

PAY RANGE: $28.00 - $32.00

The listed base pay range is a good faith representation of current potential base pay for successful applicants. It may be modified in the future. Pay is determined by factors including experience, clinical licensure date, relevant qualifications, specialty, internal equity, location, and contracts.

Rochester Regional Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, creed, religion, sex (including pregnancy, childbirth, and related medical conditions), sexual orientation, gender identity or expression, national origin, age, disability, predisposing genetic characteristics, marital or familial status, military or veteran status, citizenship or immigration status, or any other characteristic protected by federal, state, or local law.

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