Medical Coding Lead - Inpatient Internal Only

Ellis Medicine•Schenectady, NY

About The Position

The IP medical coding lead is responsible for oversight and development of the IP coding department in conjunction with the IP coding manager. This includes mentorship, training and oversight of the IP medical coding team. The IP Coding Lead understands the organization’s core information technology and information management competencies to bring value to business processes and quality improvement initiatives. This role interacts with internal and external customers to ensure continuous improvement efforts are being achieved and new coding practices are being implemented. This will require periodic audits of documentation and productivity reports of staff. The Lead is responsible for the planning, organizing, and final execution of all processes necessary to provide timely, accurate, and complete posting and billing of patient clinical coding data as well as managing and tracking results.

Requirements

High School Diploma or Ged Required
Certified Professional Coder (CPC)
Knowledge of Anatomy and Physiology, Medical Terminology and current coding standards.
Skilled experience and knowledge of Windows based software required, including but not limited to Microsoft Windows, Excel and Word.
Minimum of three to five years Inpatient coding experience required.
Hospital, insurance coding and billing experience required.
Working knowledge of healthcare revenue cycle functions, including coding and billing guidelines and government/payer regulations.

Nice To Haves

Associates Degree preferred
Experience with Soarian systems and/or Allscripts/Cerner electronic health record preferred

Responsibilities

Works with the IP coding manager to plan, develop, implement and communicate operational initiatives to improve the efficiency of the Medical Coding Department
Works with the IP Coding Manager to design quality management monitors and workload measurement systems for productivity monitoring to ensure the efficient workflow process
Reviews assessment of account performance, and responds to concerns in a timely and professional manner
Collaborates with the IP Codign Manager and IT to incorporate new technologies and functionality into the existing structure
Evaluates, designs and implements solutions for accessing, moving, and processing electronic data
Serve as a liaison with medical coding team and the billing office to resolve issues in a satisfactory manner
Carries out responsibilities in accordance with company policies and procedures, applicable regulations, including HIPAA and Labor regulations.
In conjunction with the IP codign manager, responsible for oversight of IP medical coding functions utilizing both the clinical and financial systems
Responsible for coding quality audits for other IP coding team members.
Based on findings with work with the IP Coding Manger to set up periodic outsource audits to ensure department accuracy.
Oversight of medical coding team relating to Encounter Billing Exception Worklist (EBEW) and related worklists that hold claims from billing, establish and maintain a close working relationship with the billing office to reduce and address claim issues and denials timely
Conducts training and supports professional development opportunities of staff to stay abreast to new coding and clinical guidelines
Knowledge of the hospital charges and coding, in cooperation with the Charge Description Master (CDM) Manager and Health Information Services (HIS) Department along with knowledge of DRG’s and IP coding updates
Responsible for participation in on-going education relevant to IP coding, assists in training for new employees and coverage
Works closely with the Practice Leader and the RCA Supervisor to ensure that all updates and changes are implemented timely
Maintains a high level of confidentiality to protect patient health information privacy, while providing access to authorized individuals and entities, and safeguards the integrity of electronic records
Will participate in standing cross-functional workgroups to facilitate resolution of systems issues and operational issues within Ellis Medical Group and across the enterprise (Ellis Medicine).
Adheres to hospital and procedures related to mandatory education and annual health assessments, MEE Behavior and Standards, AIDET
Works collaboratively with departments to resolve issues and overcome barriers