Coding Coordinator, Hospital Billing IP Coding

Coding Coordinator, Hospital Billing IP Coding

Hennepin Healthcare is an integrated system of care that includes HCMC, a nationally recognized Level I Adult Trauma Center and Level I Pediatric Trauma Center and acute care hospital, as well as a clinic system with primary care clinics located in Minneapolis and across Hennepin County. The comprehensive healthcare system includes a 473-bed academic medical center, a large outpatient Clinic & Specialty Center, and a network of clinics in the North Loop, Whittier, and East Lake Street neighborhoods of Minneapolis, and in the suburban communities of Brooklyn Park, Golden Valley, Richfield, and St. Anthony Village. Hennepin Healthcare has a large psychiatric program, home care, and operates a research institute, philanthropic foundation, and Hennepin EMS. The system is operated by Hennepin Healthcare System, Inc., a subsidiary corporation of Hennepin County. Equal Employment Opportunities: We believe equity is essential for optimal health outcomes and are committed to achieve optimal health for all by actively eliminating barriers due to racism, poverty, gender identity, and other determinants of health. We are committed to equitable care and working in an environment that celebrates, promotes, and protects diversity, equity, inclusion, and belonging. We are committed to bringing in individuals with new cultural perspectives to assist in creating a more equitable healthcare organization.

Purpose of this position: Supports workflow process/improvements implemented in department. Oversees scheduling of coder training as well as timely submission of professional billing inpatient charges in accordance with regulatory guidelines. Reviews and assigns codes for all diagnoses and procedures according to accepted coding guidelines, regulations, and standards for ICD9-CM and HCMPCS/CPT, as well as those determined by various payers. Maintains productivity standards in place for advanced coders.

Responsibilities:

• Assists coders in determining accurate code selection, communication requests, and educational information (both written and oral) to internal and external customers, to assist the department in meeting their goals
• Provides timely and consistent information regarding ICD-10-CM/PCS, HCPCS, and CPT so that the most accurate codes can be assigned for data collection and reimbursement
• Serves as a resource for coding questions
• Recommends changes to enhance department productivity and effectiveness as well as meet/maintain HHS's quarterly coding accounts receivable goals
• Participates in ongoing internal and external audits
• Assists in ensuring the automated coding systems, interfaces, and processes are working effectively and efficiently daily. This includes EPIC, Optum, and 3M systems
• Reviews new team member training outcomes on a regular and timely basis
• Evaluates the medical record documentation for procedures and diagnoses documented in the medical record and accurately assigns ICD-10-CM/PCS, HCPCS, and CPT codes based on National Coding Guidelines
• Serves as expert resource for issues relating to coding and abstracting of evaluation and management codes, diseases/procedures, and implications on reimbursement
• Serves as a resource in the areas including, but not limited to the following: coding data quality, coding audits, in-service/physician education, and training team
• Performs other duties as assigned

Qualifications:

Minimum Qualifications:

• Associate's degree in business and/or healthcare administration, Health Information Management, or Health Information Technology
• Two (2) years of coding experience -OR- An approved equivalent combination of education and experience

Preferred Qualifications:

• Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P)
• Experience with Epic electronic medical record functionality and encoder and reimbursement systems recommended
• Other approved AHIMA or AAPC credential

Knowledge/ Skills/ Abilities:

• Must have extensive and demonstrated expertise in CPT, HCPCS, and ICD-10-CM/PCS coding classification systems
• Knowledge of state and federal legislation for HIPAA Privacy, medical record access, and regulatory and accreditation agencies
• Knowledge of current medical record technology, statistics, data presentation, and reporting