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Coding Documentation and Compliance Coordinator

4 months ago

Erlanger, United States St. Elizabeth HealthCare Full time

* Coordination of internal audit program including review of all cases referred for coding review by coder referral to the Coding Compliance Work Queues 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.
* Assists and conducts 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. Coordinates 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.

Education, Credentials, Licenses:

* Associate of Arts/Science Degree
* CCS, RHIT or RHIA Credentials

Specialized Knowledge:

* 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.

Kind and Length of Experience:

* 5+ years hospital production coding experience
* 2+ years clinical documentation experience

FLSA Status:

Exempt

Right Career. Right Here. If you're looking for the right careers in healthcare, the right place to be is at St. Elizabeth. Join us, and you'll take pride in the level of care we offer our community and dis