Trinity Health Corporation-posted about 2 months ago
Full-time • Mid Level
Hartford, CT
5,001-10,000 employees
Religious, Grantmaking, Civic, Professional, and Similar Organizations

The Coding Compliance Specialist is primarily responsible the development, implementation and maintenance of an effective compliance program related to the documentation and coding of medical records within the scope of the Health Information Management Department. The Coding Compliance Specialist will be expected to assist in the development of coding policies and procedures, perform coder audits and to support and provide education for coding and Clinical Documentation Improvement specialist to build an effective compliance structure that will provide guidelines to detect, correct, and prevent coding errors.

  • Annual review and revision of the HIM Coding Compliance Plan
  • Assist in the development/updates of departmental coding policies and procedures to support the Official Coding Guidelines, Hospital Specific Guidelines, and the Coding Compliance Program
  • Review and report on regulatory updates including but not limited to, CMS transmittals, local coverage determinations, proposed/final rules and OIG reports/documents in a timely manner
  • Develop and present annual Coding Compliance Education for all coding staff for both IPPS and OPPS
  • Support the System Office in assignments for the online coding educational programs
  • Provide daily pre-bill SMART monitoring for inpatient encounters, and submit monthly reports to Regional Director of HIM Services and Director HIM Revenue Cycle
  • Coordinate and conduct inpatient and outpatient chart reviews
  • Bachelor or Associate's degree in Health Information Management or equivalent in experience required.
  • Five years of experience in hospital/facility outpatient and/or inpatient coding required
  • Medical terminology, anatomy and physiology, pathophysiology, ICD-10 and CPT coding classification systems, regulatory agency requirements and computer literacy required
  • Systems include: Epic, 3M 360 CAC, TRACker, Veracity, email and other systems as applicable
  • CCS required
  • Previous auditing of ICD coding, and coding compliance experience preferred.
  • CPC or RN in addition to required certification preferred.
  • Excellent benefits - starting day 1!
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