Location
Iowa | United States
Job description
Full job description
Coding Coordinator, Health Information Management (HIM), University of Iowa Hospitals and Clinics, Department of Health Information Management, Hospital Support Services Building (HSSB), 3281 Ridgeway Drive, Coralville, IA 52241
Classification Title: Coding Coordinator
Department: Health Information Management, University of Iowa Health Care (HSSB, Coralville)
University Pay Grade: 3B
Annual Salary: $55,000 to Commensurate
Percent of Time: 100%
Professional & Scientific
Schedule
- Full Time, 100%, 40 hours per week
- Monday – Friday, 8:00 a.m. – 5:00 p.m.
- 1-hour unpaid lunch
- Additional hours as needed
Seeking a Coding Coordinator to perform audits for coding and abstracting. Will coordinate, implement, and monitor compliance and coding standards and policies to ensure hospital inpatient and outpatient surgical services receive full and accurate reimbursement that comply with coding and payment rules and regulations. Will adopt and incorporate initiatives that improve compliance and reduce risks to the institution.
This position is eligible to participate in remote work and applicants who wish to work remotely will be considered. Training will be held either ONSITE or via ZOOM from the HSSB building at a length determined by the supervisor. Remote eligibility will be evaluated upon satisfactory job training. Per policy, work arrangements will be reviewed annually, and must comply with the remote work program and related policies and employee travel policy when working at a remote location.
Key Areas of Responsibility
Patient Revenue Management
- Review coding of staff to ensure complete and accurate coding and compliance with applicable rules and guidelines.
- Review medical record documentation and assign appropriate ICD-10-CM/PCS, CPT and/or HCPCS codes in accordance with coding/compliance policies, official coding, payor and regulatory guidelines as needed.
- Review denials and reviews by external entities, developing and submitting appeals as appropriate.
- Develop training for coding staff to optimize revenue cycle performance.
- Identify and resolve trends and errors in reimbursement.
- Serve as resource for complex coding issues.
Operations and Performance Standards
- Perform quality and productivity reviews of coding staff.
- Implement processes/goals set by management.
- Assure coding processes operate effectively.
- Make recommendations based on analysis of data.
- Provide education and training to staff when deficiencies are identified, or new processes are implemented.
- Coordinate with administration, finance and other departments regarding appropriate coding, billing, and medical documentation.
- Assist in planning and implementing various computer applications, software, databases.
Reporting
- Prepare reports to assure quality and productivity standards are met.
- Gather information for submission, create reports, and respond to requests from payors and other external entities.
- Provide developmental and administrative assistance and expertise for data analysis, trending and payor coding/billing regulations and policies.
Communication/Training
- Advise staff and management regarding claim edits, denials, and payment trends.
- Develop and implement training programs to increase the skill and expertise of staff.
- Communicate with coders, third party payers, clinical personnel, and patients to address and resolve coding issues.
- Initiate, develop and implement coding and billing training programs to coding staff, physicians/providers, department administration and others as needed to ensure appropriate and timely education for compliant coding and billing.
- Prepare educational coding materials.
- Conduct new staff training, re-training and one-on-one training as needed.
- Communicate with coding staff, third party payors, clinic staff, and patients to address and resolve patient account issues.
- Develop and implement training programs to increase the skill and expertise of staff.
Human Resources Management
- May provide direction, assignments, feedback, coaching and counseling to assure outcomes are achieved.
Financial Management
- May make budget recommendations regarding equipment or software to support coding operations. May recommend educational courses or seminars to support coding education.
As part of performing the key areas of responsibility and competencies described above, staff members are expected to meet reasonable standards of work quality and quantity, as well as expectations for attendance established by their supervisor. Staff members are also expected to comply with policies governing employee responsibilities and conduct, including those contained in the University Operations Manual.
Qualifications
Required Qualifications:
- A Bachelor’s degree in Health Information Management or related field or an equivalent combination of education and experience
- 3-5 years of experience with ICD-10-CM and ICD-10-PCS coding
- 3-5 years of experience working with medical records
- Knowledge and experience utilizing Epic, 3MTM (or equivalent) MS DRG/APR DRG/APC encoder/analyzer software
- Knowledge, understanding and experience with CMS regulations, standards of The Joint Commission and other accrediting bodies and medical record documentation requirements
- Knowledge of medical terminology and anatomy and physiology
- Must be proficient in computer software applications (i.e. Microsoft Office Suite)
- Excellent professional verbal and written communication skills to provide outstanding customer service and support a “Service Excellence” environment working with a diverse professional and patient population
- Requires HIM certification as RHIT or RHIA or coding certification (i.e. CCS) through nationally recognized credentialing body
Desired Qualifications:
- 5-7 years of experience with ICD-10-CM and ICD-10-PCS coding
- 5-7 years of experience working with medical records
- Previous coding auditing experience
- Previous coding experience at an Academic Medical Center (AMC)
- 6 months to 1 year of supervisory experience
- Experience with DRG third party review and appeal process
- Knowledge of University policies and procedures at the University of Iowa Hospitals and Clinics
In order to be considered for interview, applicants must upload the following documents and mark them as a “Relevant File” to the submission:
Job openings are posted for a minimum of 14 calendar days. This job may be removed from posting and filled any time after the minimum posting period has ended.
Successful candidates will be required to self-disclose any conviction history and will be subject to a criminal background check and credential/education verification. Up to five professional references may be requested at a later step in the recruitment process.
For additional questions, please contact Marian Biggins at 319-678-7711 or [email protected].
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