Coding Documentation and Compliance Coordinator

St. Elizabeth Healthcare • Erlanger, KY

2d

About The Position

St. Elizabeth Healthcare is seeking a Coding Documentation and Compliance Coordinator. This role supports the organization's mission to provide comprehensive and compassionate care, guided by values of excellence, integrity, compassion, and teamwork. The primary purpose of the position is to coordinate and monitor adherence to the Health Information Management (HIM) compliance program. This includes educating HIM, Clinical Documentation Improvement (CDI), physicians, ancillary departments, and other internal customers on appropriate documentation and accurate coding practices. The coordinator will also perform internal coding audits for compliance and educational purposes and assist with DRG denials, medical necessity issues, and various government or commercial audits. St. Elizabeth Healthcare is a large and respected medical provider in the Northern Kentucky, Southeastern Indiana, and Greater Cincinnati region, committed to transforming healthcare through innovative treatments and technology.

Requirements

• Associate of Arts/Science Degree
• CCS, RHIT or RHIA Credentials
• Prospective Payments Systems
• ICD/CPT/HCPCS Coding systems
• Proficient use of personal computer and Windows applications
• Exceptional verbal/written communication skills
• Knowledge of encoding/grouping/compliance software
• Experience with electronic medical record
• 5+ years hospital production coding experience
• 2+ years clinical documentation experience

Responsibilities

• Coordinate and monitor adherence to HIM compliance program
• Educate HIM, CDI, physicians, ancillary departments and other internal customers regarding appropriate documentation and accurate coding practices
• Perform internal coding audits for compliance and educational purposes
• Assist in DRG denials, medical necessity issues, and RAC and other government or commercial audits
• Demonstrate respect, dignity, kindness and empathy in each encounter with all patients, families, visitors and other employees regardless of cultural background
• Coordinate internal audit program including review of all cases referred for coding review by coder referral to the Coding Compliance Work Queue’s in Epic, by Quality Management Department, by Patient Safety & Accreditation and other internal customers to ensure compliance with Official Coding Guidelines and SEH Internal Coding Policies
• Assist and conduct internal coding audits of all inpatient/outpatient coders for accuracy, and monitor coding audits for contracted entities
• For inpatients monitors accuracy of POA assignment, ensuring proper coding of hospital acquired conditions
• Coordinate findings and feedback with managers, team leads and coders
• Responsible for maintaining and developing internal coding guidelines
• Develop and implement hospital-wide query policy and ensure compliance with education and regular audits of querying activity
• Stay informed of current changes and additions to coding policy, coordinating education with HIM, CDI and physicians through meetings, written materials, story boards, and other means as necessary
• Monitor and educate outpatient staff and ancillary departments on required documentation for medical necessity issues
• Facilitate education with consultants as necessary
• Assist with DRG denials in response to RAC and other government or commercial audits, coordinating with patient accounts and writing appeals
• May include preparation for administrative hearings with payers
• Assists HIM Compliance Manager with various projects as needed
• Performs other duties as assigned

Benefits

• Competitive pay
• Comprehensive health coverage within the first 30 days
• Generous paid time off
• Flexible work schedules
• Retirement savings with employer match
• Tuition reimbursement
• Professional development opportunities
• Wellness programs
• Mental health programs
• Recognition programs
• Career advancement through mentorship
• Career advancement through internal mobility

What This Job Offers

• Job Type: Part-time
• Career Level: Senior
• Education Level: Associate degree