What are the responsibilities and job description for the HIM Coding Consultant position at FirstHealth of the Carolinas, Inc.?
Overview
Provides oversight and supervision of the day-to-day coding functions to include staffing, workflow, special projects and managing coding program operations consistent with established policies. Ensures related coding functions are consistently covered during absences and synchronizes work distribution accordingly. Serves as a resource for information and clarification on accurate and ethical coding, documentation standards, querying, coding guidelines and regulatory requirements. Serves as educator for HIM coding staff as well as CDI/physician liaisons and assists in coding educational sessions for other departments within the organization as required. Works closely with internal coding auditors to review findings and identify educational opportunities. Safeguards compliance with coding and billing guidelines.
The following qualifications, or equivalents, are the minimum requirements to perform the essential functions of this position.
Education/formal training/licensure/certification/experience: Associate Degree in Health Information Management or equivalent degree in the HIM field. Candidates with equivalent HIM coding experience may also be considered if currently enrolled in an accredited HIM program.CCS credential preferred. RHIA, RHIT preferred and must become credentialed at completion of HIM program. Formal training in ICD-10 and CPT required. Expert coding knowledge and related revenue cycle management knowledge required. 5 years coding experience in hospital setting (at least 2 years inpatient) Preference to candidates with experience in DRG validation or other coding quality auditing.