Sr. Medical Science Liaison, IgG4 - Rare Disease - Upper Plains (MN, IA, ND, SD, NE)

We at M Health Fairview are looking for a Coding Documentation Liaison to join our team! This is a fully remote position approved for a 1.0 FTE (80 hours per pay period) on the day shift.

Job Description :

The Coding Documentation Liaison of Coding Quality and Support is a highly motivated professional who can work with many different roles and influence the need for correct coding and compliance. Coding Documentation Liaisons perform retrospective and prospective Quality Assurance Checks and provide tailored education to providers and coding staff on a regular basis. This role is responsible for one or more Coding and Documentation Quality and Education functions including professional services, hospital billing outpatient services, and hospital billing inpatient services. They analyze clinical documentation verifying appropriate diagnosis, procedure, DRG, and level of service for both revenue and compliance opportunities.

Responsibilities :

• Conduct formal meetings and / or team meetings in lieu of Manager as designated.
• Successfully develop and strategize project plans for delivering highly skilled coding and documentation support and training to a multispecialty system.
• Organize, analyze, and present data for the purpose of working with Service Line / Domain executives and leaders, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement.
• Analyze charging practices through financial and activity reports, as well as documentation review, to identify potential opportunities for revenue capture and recognize areas of compliance concern.
• Determine priorities, schedules, and assign work as required.
• Develop, revise, and maintain work unit policies and procedures.
• Demonstrate maturity and accountability for job performance, support objectives and goals of the department, and assess areas of personal and professional growth.
• Develop and execute departmental review projects with measurable financial, quality, and / or compliance goals per analysis findings.
• Compose correspondence or prepare reports on own initiatives.
• Lead governance taskforce workgroups as assigned.
• Identify and resolve clinical documentation and charge capture data discrepancies to improve the quality of clinical documentation, severity and reimbursement levels assigned, and integrity of data reported.
• Audit and educate multidisciplinary team members, including providers, as it pertains to frequently changing mandated rules, regulations, and guidelines.
• Meet quality assurance schedule deadlines to meet the organizational corporate compliance report out and departmental standards.
• Onboard new providers to include standard coding and documentation practices at Corporate Orientation, weekly audits, and provide 1 : 1 tailored education.
• Develop educational material based on audit findings, trends, and / or regulatory guidelines to meet coding and documentation rules.
• Collaborate with key stakeholders to determine and address trends and educational needs. Make recommendations for efficiency related to edits / hold bills based on findings.
• Assist in reviewing and making recommendations for physician template updates based on yearly coding changes.
• Create tip sheets, newsletters, and hot topics for department and / or organizational use.
• Perform other job-related duties as assigned.

Qualifications :

Required Education : Associate degree in HIM, or equivalent healthcare coding experience.

Required Experience : Five years of relevant coding experience.

Required License / Certification / Registration :

Inpatient Coding : Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS)

Outpatient or Professional Fee Coding : Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H)

Preferred Education : Bachelor’s degree in HIM or higher.

Preferred Experience : Eight years of relevant coding experience.

Preferred License / Certification / Registration :

Inpatient Coding : Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS)

Outpatient or Professional Fee Coding : Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H)

Additional Requirements :

J-18808-Ljbffr