Overview:
GENERAL STATEMENT OF DUTIES:
The Coding Coordinator is a functioning coder with responsibility within the department in direct support of all clinical programs, ensuring professional physician services are properly coded prior to billing and daily oversight of the coding department.
ESSENTIAL FUNCTIONS:
- Audit patient documents for proper CPT and ICD-10 coding, PQRI and HEDIS measures.
- Review records to ensure all required information is present for billing, reimbursement, and regulatory compliance purposes.
- Adjust codes and suggest addendums wherever necessary, to ensure appropriate documentation, accurate and maximum billing.
- Offer guidance to doctors/providers ensuring correct documentation is present in the patient’s medical record.
- Provide education and training to residents, clinical and business office staff (as scheduled, usually monthly) concerning coding processes, practices, and current regulatory requirements.
- Prepare regular reports as required for the revenue cycle Leadership.
- Oversee coding work queues to ensure deadlines such as month end are met. Create and implement work flows to ensure coding is done in a correct, timely and consistent manner.
- Attend training sessions as required to keep abreast of any changes in processes, requirements, or regulatory guidelines
- Mentor General Coder as needed
- Audit Attending/Teaching physician documentation on a scheduled basis
LEADERSHIP RESPONSIBILITY
- Oversees coding staff and workflows.
- Participates with the hiring team, orientation, and training (mentoring & coaching) within the department.
- Collaborating with HR to oversees the day-to-day productivity of staff (performance management, corrective action, or medical leave of absences).
- Assists the Manager and Director in the development of policies and procedures.
- Coordinates daily assignment of tasks; intervenes as appropriate to resolve potential or identified coding concerns.
- Assures staff’s adherence to CMU Health policies, procedures, and accountability to CMEP’s values.
Qualifications:
REQUIRED EDUCATION AND EXPERIENCE:
- Extensive knowledge of CPT, ICD-10 CM Coding, HCPC codes.
- AHIMA or AAPC coder credentials. Would consider RHIA or RHIT.
- Clerical and office support work coupled with keyboarding, and computer proficiency.
PREFERRED QUALIFICATION:
- Experience coding for professional services preferred.
- Medical billing experience preferred, but not required.
- Multi-specialty clinic setting preferred.
- EPIC experience preferred.
CMU is an AA/EO institution, providing equal opportunity to all persons, including minorities, females, veterans, and individuals with disabilities.
