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

Stormont-Vail HealthCare•Topeka, KS

3d•Hybrid

About The Position

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

Requirements

Associate's Degree Healthcare related field. Graduate of a Medical Coding Program can be substituted for education.
3 years Hospital inpatient and ambulatory surgery coding experience (assignment of ICD-10-DX, ICD-10-PX and CPT codes).
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)
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.

Responsibilities

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