Coding Issues Manager

Prime Healthcare•Harlingen, TX
•Onsite

About The Position

Join an award-winning team of dedicated professionals committed to our core values of quality, compassion and community! Harlingen Medical Center, a member of Prime Healthcare, offers incredible opportunities to expand your horizons and be part of a community dedicated to making a difference. Harlingen Medical Center is a Level IV Trauma Designated hospital that specializes in Cardiovascular Service, Emergency Services, Neuroscience, Orthopedic Services, Radiology, Rehabilitation Services and Surgical Services. Harlingen Medical Center has provided high-quality “Patient Focused Care” to the residents of Western Cameron County for more than 15 years. Harlingen Medical Center, one of South Texas’s best kept secrets, offers patients the best of both worlds--a warm, caring environment, close to home while providing the wide range of services and expertise typically found in much larger facilities.

Requirements

  • Bachelor’s degree in related field
  • Certified Coding Specialist Certificate (CCS), or CPC, or CIC, or COC or applicable coding certification. If not certified, certification needs to be acquired within six (6) months of accepting the position.
  • Minimum of three (3) years of experience.
  • Basic computer experience required.
  • Excellent written and verbal communication skills.
  • Excellent critical thinking skills.
  • Use of an encoder software product for code assignment in an acute care setting.

Nice To Haves

  • Minimum of two years’ experience with ICD-10 and CPT coding in an acute care setting.
  • Medical Graduate, PA, Nursing Graduate
  • Master’s degree in healthcare or related field
  • Thorough knowledge of ICD-10-CM, CPT-4, anatomy and physiology, medical terminology, DRGs, APCs, and Severity Adjusted DRGs.

Responsibilities

  • Oversight of the coding issue tracker to ensure compliance with coding and revenue integrity components.
  • Monitor the tracker and ensure that the editing and charge reconciliation functions are timely, accurate, complete, and compliant with regulatory requirements, ensuring documentation and charges are available for coding and billing promptly.
  • Utilize knowledge and resources to educate, be diplomatic, and be persuasive to ensure the data integrity of the coding issue tracker as well as the accuracy of coding and charging practices.
  • Liaise with the Coding, Business Office, and HIM departments of facilities and offshore units to maintain the integrity of components of the coding issue tracker.
  • Ensure that the recommendations made by the coding issues team are precise, appropriate, and addresses the reason for which the account was assigned to the coding issues tracker in the first place.
  • Perform other duties as assigned or required.
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