Medical Coding Lead Inpatient Internal Only

The IP medical codign lead is responsible for oversight and development of the IP coding department in conjunction with the IP coding includes mentorship training and oversight of the IP medical coding team. The IP Coding Lead understands the organizations 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.

EDUCATION AND EXPERIENCE REQUIREMENTS:

• High School Diploma or Ged Required Associates Degree preferred
• 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. Experience with Soarian systems and/or Allscripts/Cerner electronic health record preferred
• 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.
• Working knowledge of healthcare revenue cycle functions including coding and billing guidelines and government/payer regulations.

RESPONSIBILITIES OF THE POSITION:

• 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 DRGs 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

Ellis Medicine is committed to creating a diverse environment and is proud to be an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to and will prohibit discrimination on the basis of race creed color religion sex/gender (including pregnancy) age national origin disability (including pregnancy-related conditions) genetic information predisposition or carrier status military or veteran status prior arrest or conviction record marital or familial status sexual orientation transgender status gender identity gender expression reproductive health decisions domestic violence victim status known relationship or association with any member of a protected class and any other characteristic protected by applicable law violates federal state and where applicable local laws reproductive health decisions or source of payment consistent with applicable legislation and to comply with the laws pertaining thereto.

Salary Range: $29.44-44.16 /hour Pay is based on experience skills and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.