Coding Documentation Liaison

Overview

This position is for a Hospital Coding Documentation Liaison (covering Observation, Outpatient, Advanced Treatment Center, Interventional Radiology and Cath Lab, and Same Day Surgery.)

The role of Coding Documentation Liaison of Coding Quality and Support is a highly motivated professional who can work with many different roles and influence the need for correct coding and compliance. Coding Documentation Liaisons on the Quality and Education Team perform retrospective and prospective Quality Assurance Checks and provide tailored education to providers and coding staff on a regular basis. This role is responsible for one or more Coding and Documentation Quality and Education functions including professional services, hospital billing outpatient services, hospital billing inpatient services. Coding Documentation Liaisons analyze clinical documentation verifying appropriate diagnosis, procedure, DRG, level of service for both revenue and compliance opportunities. Coding Documentation Liaisons analyze documentation and coding reports to identify quality, educational opportunities, and compliance risks to meet regulatory and payer reporting requirements. Coding Documentation Liaisons work collaboratively with Service Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials, and other key stakeholders to improve the quality of documentation and coding to resolve clinical documentation and charge capture discrepancies.

This position is 80hr per pay period and benefit eligible! Some of the benefits we offer at Fairview include medical insurance - as low as $0, dental insurance - also a $0 option, PTO (up to 24 days per year starting), and 403B with up to a 6% employer match; click here to learn more!

When working at M Health Fairview, we want to support our employees growth, honor their strengths and give them the freedom to feel empowered to make a difference in the lives of others.

Responsibilities/Job Description

• Conducts formal meetings and/or team meetings in lieu of Manager as designated.

• Successfully develops and strategizes project plans for delivering highly skilled coding and documentation support and training to a multispecialty system

• Organize, analyze, and present data for the purpose of working with Service Line/Domain executives and leaders, Practice Managers and other stakeholders throughout the organization to outline and institute strategies for improvement.

• Analyze charging practices through financial and activity reports, as well as documentation review, to identify potential opportunities for revenue capture and recognize areas of compliance concern.

• Determines priorities, schedules, and assigns work as required.

• Develops, revises, and maintains work unit policies and procedures.

• Demonstrates maturity and accountability for job performance, supports objectives and goals of the department, and assess areas of personal and professional growth.

• Develop and execute departmental review projects with measurable financial, quality and/or compliance goals per analysis findings.

• Compose correspondence or prepare reports on own initiatives.

• Leads governance taskforce workgroups as assigned.

• May compose correspondence or prepare reports on own initiatives.

• Identify and resolve clinical documentation and charge capture data discrepancies to improve the quality of clinical documentation, severity and reimbursement levels assigned, and integrity of data reported.

• Audit and educate multidisciplinary team members, including providers, as it pertains to frequently changing mandated rules, regulations, and guidelines.

• Meet quality assurance schedule deadlines to meet the organizational corporate compliance report out and departmental standards.

• New provider onboarding to include standard coding and documentation practices at Corporate Orientation, weekly audits and provide 1:1 tailored education.

• Develop educational material based on audit findings, trends and/or regulatory guidelines to meet coding and documentation rules.

• Collaborate with key stakeholders to determine and address trends and educational needs. Make recommendations for efficiency related to edits/hold bills based on findings.

• Assists in reviewing and makes recommendations for physician template updates based on yearly coding changes.

• Create tip sheets, newsletters, hot topics for department and/or organizational use.

Organization Expectations, as applicable:

• Ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.

• Communicates in a respective manner and ensures a safe, secure environment.

• Provides patient education based on as assessment of learning needs of patient/care giver.

• Fulfills all organizational and learning requirements relevant to the role.

• Supports improvement, efficiency and innovative thinking.

• Other duties as assigned.

Qualifications

Required Qualifications:

• Associate degree in HIM, or equivalent healthcare coding experience.

• Five years of relevant coding experience.

• Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist

• Professional (CCS-P), Certified Professional Coder

• Hospital (CPC-H)

Preferred Qualifications:

• Bachelor's degree in HIM or higher

• Eight years of relevant coding experience.

• Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist

• Professional (CCS-P), Certified Professional Coder

• Hospital (CPC-H)

Additional Requirements:

• Basic knowledge of Microsoft-based computer software

• Expert knowledge of ICD-10 and CPT and related coding/abstracting rules and guidelines

• Expert knowledge of medical terminology, anatomy, physiology, and pathophysiology

• Expert knowledge of relationships of disease management, medications and ancillary test results on diagnoses assigned

• Proficiency with computer systems, including electronic health record

• Critical thinking and problem-solving skills

• Highly effective written and verbal communication skills

• Ability to prepare educational materials for coding staff and providers

• Ability to accept cultural differences