This position involves performing internal quality assessment reviews on coders to ensure compliance with national coding guidelines and company policies. The role also involves coordinating and directing coding educational activities, providing educational classes and presentations, and communicating outcomes to improve the accuracy and integrity of patient data.
Requirements
- Responds to coding-related questions from HSC coding staff
- Leads, coordinates and performs all functions of quality reviews for inpatient and outpatient coding
- Provides Coding Integrity Specialist and CQR education as needed
- Initiates the rebilling process as required per policy on special projects
- Researches coding opportunities and escalates as needed
- Assists in the review, improvement of processes, education, troubleshooting and recommend prioritization of issues
- Provides and creates education as needed
- Monitors QA results to assist Coding Leadership in root cause analysis and educational opportunities
- Assists with curriculum development
- Ensures coding staff adherence with coding guidelines and policy
- Maintains or exceeds 95% productivity standards
- Maintains or exceeds 95% accuracy
- Meets all educational requirements as stated in current Company policy
- Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
- Performs an annual education needs assessment as input to the strategic coding education program and provides this assessment to the Coding Leadership team
- Communicates Coding topics and/or question trends to Coding Leadership for global education
- Coaches and mentors coding staff as they develop and grow their coding skills
- Provides skilled coding support through regularly scheduled coding meetings and as the need arises
- Researches external sources for common coding trends and questions
- Works on special projects as assigned
- Applies adult learning concepts when developing, delivering or assisting others for educational programs
- Provides high level of customer service
- Practices and demonstrates adherence to the Company's Code of Conduct and ethics philosophy and Company's Mission and Values
- Completes other duties as assigned
Benefits
- PTO
- 401(k)
- Medical and dental plans
