POSITION TITLE: Coding Coordinator

DEPARTMENT: Health Information Management

REPORTS TO: Director, Health Information Management

JOB DUTY #

DESCRIPTION OF JOB DUTY

RELATIVE RATE

1

Accurately assigns, sequences, and abstracts appropriate ICD-10-CM and CPT-4 Codes. Accurately assigns the Diagnostic Related Group (MS-DRG) to discharged patients.

2

Meets established productivity standards and accuracy rates. Monitors the productivity and accuracy rates of Coding personnel.

3

Attends meetings on coding and compliance and communicates information to Coding personnel. Provides training in coding guidelines and practices, and proper documentation guidelines.

4

Monitors and trends the assignment of Coder Queries by the Coding personnel. Monitors trends by physicians for the types and timeliness of Coder Queries assigned.

5

Ensures compliance with all federal regulations with NCD’s and LCD’s for medical necessity.

6

Performs data quality reviews ensuring coding compliance by rendering monthly retrospective audits to ensure OIG compliance.

7

Evaluates the quality of documentation in the chart. Works closely with the Clinical Documentation Improvement Team to make recommendations and implement changes.

8

Monitors and responds to Medicare, Medicaid, Recovery Audit Contractor (RAC), and other third party audits for coding and DRG changes, and /or denial letters.

9

Manage the outsourcing of overflow work to external vendors

10

Participate on the Implementation Team for Computer Assisted Coding (CAC).

11

Demonstrates commitment to a Culture of Patient Safety and High Reliability through use of and promotion of high reliability principles and the NJ STRONG patient safety behaviors. Engages in reducing unsafe practices and drives improvement in culture of safety through implementation of NQF and other best practices as appropriate for the discipline. Demonstrates commitment to achieving the highest level of performance for external benchmarking, (e.g. Leapfrog, payor based pay for performance, Medicare Star rating, etc.)

12

Performs any related duties as assigned by Director, Health Information Management.

EDUCATION/DEGREE(S):

LICENSE(S)

CERTIFICATION(S)

Bachelor’s Degree (preferred)

RHIA, RHIT, CCS, CPC

Associate’s Degree (preferred)

RHIT, CCS, CPC

High School Diploma with previous management experience

 Maintains confidentiality of patient information, and complies with established confidentiality guidelines.

Interacts effectively and professionally with interdepartmental and intradepartmental personnel, physicians, and external customers. Answers the telephone courteously, and professionally giving departmental and personal identification.