As the Coding Reimbursement Coordinator, you will coordinate the activities of the Coding and Charge Capture Unit in the department of Cardiology. In this role, you will partner with Health Information Management, Faculty Practice Plan Coding & Compliance and Corporate Compliance; guide the Coding and Charge Capture staff; and provide coding and charge capture education for physicians and staff.
Ensures accurate coding by conducting periodic auditing.
Implements a Coding and Compliance Program including controls and compliance measurements consistent with corporate operating policies and procedures to prevent illegal, unethical or improper conduct.
Utilizes IDX and/or 3M related modules to obtain, analyze and interpret coding, denial and other reimbursement data to support compliance and practice management activities.
Utilizes Stockamp tools to address work denials, develop trending reports and report findings to Revenue Cycle Management within Cardiology.
Executes coding of procedural reports and enters corresponding charges into Invision.
Partners with administrative leadership within the department of Cardiology to ensure correlation of information on billing forms with rendered clinical services. Works on complex assignments. Makes recommendations for improvement to physician and hospital practices as necessary.
Partners with Revenue Cycle Management to create, support, and maintain policies related to coding compliance activities.
Creates physician and staff education around findings and/or trends in denials or other significant metrics in conjunction with internal audit initiatives.
Monitors the work of department Coders for accuracy and compliance.
Guides Coding and Charge Capture staff.
Knowledge of Health Information Administration or related field, as normally acquired through the completion of a Bachelor's Degree.
High School Diploma or equivalent, required.
Credentials in one (1) or more of the following:
Advanced Coding Specialist (ACS)
Certified Coding Specialist - Physician (CCS-P)
Certified Professional Coder (CPC)
Certified Cardiology Coder (CCC)
Registered Health Information Administrator (RHIA)
Registered Health Information Technician (RHIT)
Minimum of five (5) years related work experience including supervisory experience, required.