Job Description

\rJob Description \r

Supervises and coordinates the staff and activities of coding quality and operations to ensure Discharge Not Final Billed (DNFB) cases are analyzed, corrected and coded per organization standards, policies and procedures. Identifies trends, errors and reoccurring issues with medical record documentation and partner with leadership to address documentation issues.

\r

Job Responsibility

\r

\r

Promotes Coding Audit department goals by selecting, motivating, and training capable team members.
Leads the activities of assigned Coding Audit team members by communicating and providing guidance toward achieving department objectives.
Assists in analyzing common operational definition of metrics, and assists in the development of regional reports to monitor individual hospitals in one database and develops processes to integrate clinical department managers in correction and resubmission of medical records.
Assists with the development of tools to track performance including daily reports that track coding operations contribution to the DNFB, including progress toward the resolution of holds; an applies data driven methodologies to understand the current state of coding operations relating to individual hospitals.
Compiles data into reports to identify trends and patterns in procedures; provides regional and local metric information for organization communications.
Evaluates and implements systems, mechanisms, and procedures that, and ensures timely placement of documents in patient medical record.
Measures adherence of system(s) developed, handle delays and errors; ensures adherence to high quality Medical Records standards.
Assist the leadership in development of performance goals, dashboards and medical record chart assembly / delivery procedures; utilizes and reviews tools to track and monitor the prompt resolution of holds and non coded accounts.
Collaborates with site leadership to prioritize, schedule, assign, and monitor work to optimize operational services; maintains compliance with the policies, procedures and regulations of Medical Records; informs and educates staff of regulatory changes, as needed.
Communicates case write-offs with senior leadership and Business Offices; supervises, hires, trains, disciplines, and evaluates the performance of staff; ensures performance appraisals are completed in a timely manner.
Prioritizes, schedules, assigns and monitors work to optimize operational services; participates in developing and delivering training related to operations.
Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

\r

Job Qualification

\r

\r

Associate's Degree required, or equivalent combination of education and related experience.
Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications as needed.
4-6 years of relevant experience and 0-2 years of leadership / management experience, required.