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Position Summary:
Manages the daily operations and delivery of physician office and professional fee coding services with adherence to established coding guidelines; responsible for managing the coordination of accurate and compliant Professional Services coding of pertinent medical information; ensures accurate assignment of codes and compliance with regulatory requirements. Assists in determining strategic priorities and planning for unit operations and participates in the audit projects and provides education to the Professional Services coding team based on the audit findings.
Job Requirement
Education/Experience:
Equivalent to a Bachelor's Degree in Health Information Management or related field and five (5) years of coding/auditing experience in an acute care setting, three (3) years of which were in a supervisory/management role.
Licensing/Certification Requirements:
Certified Professional Coder (CPC); or, multiple specialty-specific coding certifications from the American Academy of Professional Coders (AAPC); or, Certified Coding Specialist, Physician-based (CCS-P); or, Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT); or, Registered Health Information Administrator (RHIA) issued from the American Health Information Management Association (AHIMA)
Knowledge, Skills, Abilities, and Physical Requirements
Knowledge of:
Federal, state and county laws and regulations governing coding; modern theories, principles and practices of effective supervision; coding principles and guidelines including, but not limited to ICD-10-CM/PCS, CPT/E&M, and HCPCS; coding documentation and billing regulations related to Medicare, Medicaid, and commercial insurance; revenue cycle workflows including, but not limited to charges/charge master, code edits, auditing, denials management, and documentation improvement; budget principles and practices; principles of information management including principles of confidentiality and other patient rights; data collection and analysis techniques; personal computers and associate software applications; department and hospital safety practice and procedures; patient rights; age specific patient care practices; infection control policies and practices; handling, storage, use and disposal of hazardous materials; department and hospital emergency response policies and procedures.
Skill in:
Effectively managing assigned staff; facilitating resolution of conflicts among staff; applying budget principles and practices; compiling, interpreting and evaluating statistical and medical data; identifying and implementing performance standards; problem solving; using electronic health record systems; 3M 360 or similar integrated encoder/computer-assisted coding system; utilizing personal computers for data management and information dissemination; communicating effectively with a wide variety of people from diverse socio-economic and ethnic backgrounds; establishing and maintaining effective working relationships with all personnel contacted in the course of duties; efficient, effective and safe use of equipment.
Physical Requirements and Working Conditions:
Mobility to work in a typical of ice setting and use standard of ice equipment, stamina to remain seated and maintain concentration for extended periods of time; vision to read printed materials and a computer screen, and hearing and speech to communicate effectively in-person and over the telephone. Strength and agility to exert up to 20 pounds of force occasionally and/or a negligible amount of force frequently or constantly to lift, carry, push, pull or otherwise move objects. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions of this classification.
