Coding Coordinator, Professional Billing Coding

SUMMARY:

We are currently seeking a Coding Coordinator to join our Professional Billing Coding team. This full-time role will primarily work remote (SHIFT: Days).

Purpose of this position: Supports workflow process/improvements implemented in department. Oversees scheduling of coder training as well as timely submission of professional billing inpatient charges in accordance with regulatory guidelines. Reviews and assigns codes for all diagnoses and procedures according to accepted coding guidelines, regulations, and standards for ICD9-CM and HCMPCS/CPT, as well as those determined by various payers. Maintains productivity standards in place for advanced coders.

Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Florida, Georgia, Illinois, Iowa, Nevada, North Carolina, North Dakota, South Carolina, South Dakota, Tennessee, Texas, and Wisconsin.

RESPONSIBILITIES:

• Assists coders in determining accurate code selection, communication requests, and educational information (both written and oral) to internal and external customers, to assist the department in meeting their goals

• Provides timely and consistent information regarding ICD-10-CM/PCS, HCPCS, and CPT so that the most accurate codes can be assigned for data collection and reimbursement

• Serves as a resource for coding questions

• Recommends changes to enhance department productivity and effectiveness as well as meet/maintain HHS's quarterly coding accounts receivable goals

• Participates in ongoing internal and external audits

• Assists in ensuring the automated coding systems, interfaces, and processes are working effectively and efficiently daily. This includes EPIC, Optum, and 3M systems

• Reviews new team member training outcomes on a regular and timely basis

• Evaluates the medical record documentation for procedures and diagnoses documented in the medical record and accurately assigns ICD-10-CM/PCS, HCPCS, and CPT codes based on National Coding Guidelines

• Serves as expert resource for issues relating to coding and abstracting of evaluation and management codes, diseases/procedures, and implications on reimbursement

• Serves as a resource in the areas including, but not limited to the following: coding data quality, coding audits, in-service/physician education, and training team

• Performs other duties as assigned

QUALIFICATIONS:

Minimum Qualifications:

• Associate's degree in business and/or healthcare administration, Health Information Management, or Health Information Technology

• Two (2) years coding experience

• OR-

• An approved equivalent combination of education and experience

Preferred Qualifications:

• Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P)

• Experience with Epic electronic medical record functionality and encoder and reimbursement systems recommended

• Other approved AHIMA or AAPC credential

Knowledge/ Skills/ Abilities:

• Must have extensive and demonstrated expertise in CPT, HCPCS, and ICD-10-CM/PCS coding classification systems

• Knowledge of state and federal legislation for HIPAA Privacy, medical record access, and regulatory and accreditation agencies

• Knowledge of current medical record technology, statistics, data presentation, and reporting