As part of our continued commitment to providing a safe and healthy workplace, Phoenix Children’s is officially a mandatory COVID-19 vaccination organization, effective October 1, 2021. All new employees must be fully vaccinated prior to starting employment at Phoenix Children’s. Having a vaccinated workforce is an important step in supporting our mission to provide hope, healing and the best healthcare for the children in our community.
This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes and CPT-4 procedure codes for Observation, Same Day Surgery, Emergency Department, Urgent Care and/or Ancillary medical records. Completes coding for all accounts on a timely basis within the four day bill hold time frame. Follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and daily output of volume consistent with department productivity standards.
This position assigns, per coding guidelines, the current version of ICD diagnosis and procedure codes for Inpatient medical records or outpatient Infusion accounts. Completes coding for all accounts on a timely basis within the four day bill hold time frame. This position also follows up on all accounts needing coding queries or documentation completion by clinicians or medical staff. Demonstrates coding competencies with quality of coding and meeting department productivity standards.
This position researches and codes all office, surgical and procedural-based reports/records by assigning accurate CPT codes, current version of ICD (diagnosis codes), HCPCS and modifiers in accordance with CMS coding guidelines and principles in a compliant manner.
Under direct supervision of the Manager of Professional Services, performs functions as both coding auditor and educator and is responsible for providing oversight on education and audits of medical records for compliance with federal coding regulation and guidelines. This position is responsible for the coordination of auditing and education in support of achieving organizational strategic initiatives. The position has a shared responsibility to assist in achieving teams goals. Uses knowledge of PCH policies and procedures to provide a second level review of all Codes (CPT, EM, ICD-10 etc.) to achieve and maintain compatibility with Government and PCH billing requirements and compliance standards. This position also assists with coding production as needed; reviews and resolves coding issues related to billing, researches complex coding issues, and participates in process improvements related to coding and EM management.
The Lead Educator Professional Services Coding is a primary resource to the team to develop education process and templates; identify PCMG/PCP needs through industry engagement and data; provide technical and professional support as the team members grow proactive and professional relationships; create targeted education to optimize the quality and accuracy of provider documentation and billing opportunities. This position has the ability to resolve high complexity issues, acts as a subject matter expert and demonstrates leadership through education, coaching and process/tool development for the Education team. As a part of the Education development and in coordination with Phoenix Children`s Annual Compliance plan, this position is also responsible for performing education and audits of medical records for compliance with federal coding regulation and guidelines under direct supervision of the Manager of Professional Services. This position also assists with coding production, as needed; reviews and resolves coding issues related to billing; researches complex coding issues and participates in process improvements related to documentation, coding and EM management.
This position receives supervision from the Professional Service Coding Manager to assign, per coding guidelines, the current ICD10 diagnosis and CPT-4 procedure codes for professional services. Completes and assists in monitoring coding for all accounts on a daily basis to stay consistent with department productivity standards/goals. Follows up on accounts needing coding queries or documentation completion by clinicians or medical staff. Also assists in performing internal coding quality reviews to ensure compliance with AMA/CMS coding guidelines, definitions and coding policies. This position also provides training and education to the Coding Staff and Medical Staff, and maintains current department policies related to coding and abstracting. This position assists with coding production as needed, reviews and resolves coding issues related to billing, researches complex coding issues, and participates in process improvement related to coding and abstracting.
This position supervises the daily activities of the hospital based coding staff and oversees the daily workflow to ensure that PCH maintains the highest quality for accurate and compliant coding. This position will oversee and assist with all of the internal and external coding reviews conducted throughout the year. This position will report directly to the Coding and Compliance Manager. This position will ensure that all coding staff are following the established coding guidelines and are compliant with regulatory standards. Collaborates with management to provide relevant education and ideas to develop comprehensive policies and procedures, compliance training, and reduce bill edits. Oversees that the coding staff are using all coding tools provided in addition to the successful usage of computerized assisted coding. Works closely with the Clinical Documentation Integrity staff by assisting with questions and recommended coding changes. Assists the Coding manager by evaluating, collecting data and recommending changes for documentation improvement for codable conditions. Assists the hospital in providing accurate data for State reporting and other key external programs.