HIM Coding Team Lead - Hospital Coding Services - FT - Day

Position Status:

Full time

Shift:

First Shift (Days - Less than 12 hours per shift) (United States of America)

Hours per week:

40

Job Information
Exemption Status: Non-Exempt

A Brief Overview
Coding Team Lead will provide leadership and guidance to facilitate coding activities, coding quality and compliance with HIM departmental standards and coding regulations. Lead will assist with the day-to-day oversight of coder job assignment based on daily key coding metrics. Lead will provide coding training for new and existing team members and perform research on coding issues. In addition, Lead may assist with the creating, reviewing and reconciling statistical reports.

Education Qualifications

• Associate's Degree Healthcare related field. Graduate of a Medical Coding Program can be substituted for education. Required

Experience Qualifications

• 3 years Hospital inpatient and ambulatory surgery coding experience (assignment of ICD-10-DX, ICD-10-PX and CPT codes). Required

Skills and Abilities

• Strong knowledge of medical terminology. (Required proficiency)
• Strong emphasis on coding accuracy based on coding and regulatory guidelines (CMS/AHA/Coding Clinics) as well as payor guidelines. (Required proficiency)
• Experience with DRG’s, APR-DRG’s, HCC’s, PSI’s, MCC/CC’s and NTAP’s for inpatient coding. (Required proficiency)
• Experience with CPT’s, HCPCS, and TPT’s for outpatient coding. (Required proficiency)

Licenses and Certifications

• Registered Health Information Administrator (RHIA) - AHIMA Required or
• Registered Health Information Technician (RHIT) - AHIMA Required or
• Certified Coding Specialist (CCS) - AHIMA Required or
• Certified Professional Coder - AAPC CPC also accepted. Required

What you will do

• Ensure coding practices comply with departmental and regulatory standards.
• Serve as a coding resource and educator to coding and CDI staff, which requires in-depth knowledge of coding across multiple specialties.
• Conduct coding audits to ensure coding compliance by reviewing medical record documentation for accurate ICD-10-CM diagnosis, procedure and CPT code assignment and chart abstracting for hospital related services.
• Monitor and evaluate coding workflows for maximum efficiencies and assist with problem solving work queue issues when accounts/documents are not flowing properly.
• Aim to reduce Accounts Receivable by monitoring coding work queues, including assignment of coders to areas of greatest need.
• Train new and existing coding team members evaluating performance and recommend operational improvements towards coding quality accuracy.
• Assist with the development and implementation of coding policies and procedures.
• Collaborate with Clinical Documentation Improvement (CDI) team for clinical expertise, second level reviews, mortality reviews and query opportunities.
• Revise and develop coding queries for coding team to submit to physicians for medical record documentation clarification.
• Ensure coder/CDI/provider communication/feedback occurs timely and consistently.
• Research and respond to payor denials by providing coding guidance in preparation of appeal process.
• Review and assist with encounters associated with potential coding discrepancies as it relates to prebilling system edits and/or resubmission of claims.
• Actively participate in the daily workload within the coding department to include assisting with general coding when needed or requested.
• Perform research to include creating, reviewing and reconciling various custom generated Epic and 3M reports.
• Stay abreast on updated coding guidelines and regulatory changes and provides updates to coding team.
• Attend and participate in SVH, HIM department, coding, CDI/3M meetings and educational sessions.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Not Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• Hybrid

Scope

• No Supervisory Responsibility
• 
  
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Occasionally 1-3 Hours
• Carrying: Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Crawling: Rarely less than 1 hour
• Crouching: Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Continuously greater than 5 hours
• Feeling: Continuously greater than 5 hours
• Grasping (Fine Motor): Continuously greater than 5 hours
• Grasping (Gross Hand): Continuously greater than 5 hours
• Handling: Continuously greater than 5 hours
• Hearing: Occasionally 1-3 Hours
• Kneeling: Rarely less than 1 hour
• Lifting: Rarely less than 1 hour up to 10 lbs
• Operate Foot Controls: Rarely less than 1 hour
• Pulling: Rarely less than 1 hour up to 10 lbs
• Pushing: Rarely less than 1 hour up to 10 lbs
• Reaching (Forward): Occasionally 1-3 Hours up to 10 lbs
• Reaching (Overhead): Rarely less than 1 hour up to 10 lbs
• Repetitive Motions: Continuously greater than 5 hours
• Sitting: Continuously greater than 5 hours
• Standing: Occasionally 1-3 Hours
• Stooping: Rarely less than 1 hour
• Talking: Occasionally 1-3 Hours
• Walking: Rarely less than 1 hour

Physical Demand Comments:
Vision requirements include close vision and ability to adjust focus.

Working Conditions

• Burn: Rarely less than 1 hour
• Chemical: Rarely less than 1 hour
• Dusts: Rarely less than 1 hour
• Electrical: Rarely less than 1 hour
• Explosive: Rarely less than 1 hour
• Extreme Temperatures: Rarely less than 1 hour
• Infectious Diseases: Rarely less than 1 hour
• Mechanical: Rarely less than 1 hour
• Noise/Sounds: Occasionally 1-3 Hours
• Other Atmospheric Conditions: Rarely less than 1 hour
• Poor Ventilation, Fumes and/or Gases: Rarely less than 1 hour
• Radiant Energy: Rarely less than 1 hour
• Risk of Exposure to Blood and Body Fluids: Rarely less than 1 hour
• Risk of Exposure to Hazardous Drugs: Rarely less than 1 hour
• Hazards (other): Rarely less than 1 hour
• Vibration: Rarely less than 1 hour
• Wet and/or Humid: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.