Coding Liaison, Professional Billing Coding

Hennepin Healthcare•Minneapolis, MN

4d•Remote

About The Position

Provides support, education, and feedback to Physicians, Advanced Practice Providers, Residents, and Coding Staff on documentation guidelines and billing trends. This role is responsible for assisting with new provider onboarding, presenting educational findings on coding and billing trends, developing and executing departmental review projects, and organizing/analyzing data to support strategic improvements. The Coding Liaison will collaborate with other departments to identify educational needs, analyze provider documentation and billing practices, and perform annual reviews of coding guidelines. They will also support clinical areas in charge capture and coding accuracy, investigate issues impacting reimbursement, and conduct annual provider quality reviews to ensure compliance with documentation and billing standards.

Requirements

Two (2) years post-secondary education in HIM field OR Three (3) years external coding/reimbursement experience
RN
CCS-P, CPC, RHIT, RHIA
CDIP, CCDS
An approved equivalent combination of education and experience
Strong interpersonal and communication skills
Comfortable discussing patient care/clinical presentation of the patient (as it relates to quality metrics and coding) with providers
Able to present to both small and large (up to 100) groups
Initiates judgment, makes decisions, and works autonomously
Ability to work with a variety of stakeholders at various levels of authority within the organization
Problem solving and conflict resolution
Analytical and critical thinking skills

Nice To Haves

Bachelor’s Degree in health related field

Responsibilities

Assists with New Provider Onboarding
Presents education points and/or findings to Physicians, Advanced Practice Providers, Residents, and Coding Staff regarding coding and billing trends and related quality metrics
Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings
Organizes, analyzes, and presents data for the purpose of supporting Department Chiefs, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement
Collaborates with other departments and key stakeholders to determine trends and educational needs
Analyzes provider documentation and billing practices through financial and coding activity reports, as well as documentation reviews, to identify potential opportunities for revenue capture and recognize areas of compliance concern
Performs a detailed annual review of CPT and ICD-10-CM which includes identifying codes that have been deleted, added, or replaced; identifies description changes and communicating these changes to clinical departments that will be impacted
Supports clinical areas and departments in charge capture and coding accuracy to ensure organization-wide uniformity of charges and coding for similar products and procedures
Identifies/investigates issues with medical necessity, coding, and billing that reduce reimbursement; recommends action steps and works collaboratively with the department to improve processes when operational weaknesses and/or compliance issues are found
Conducts annual provider quality reviews to evaluate the appropriateness of services and procedures billed based on supporting documentation; evaluates appropriateness of diagnoses (ICD) and procedural (CPT) codes billed for services; evaluates adequacy of documentation to meet the Teaching Physician guidelines; evaluates level of service billed for evaluation and management (E/M) services, evaluates appropriateness of modifier usage
Other duties as assigned