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 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.