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.
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.
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.
The Supervisor, Professional Services Coding is responsible for the planning, coordinating and managing of daily operational functions of the team to include developing and implementing an efficient coding review and audit processes and an internal compliance audit plan. This position manages the budget, sets productivity standards by performing analysis of the daily workload of assigned staff and provides leadership with reports by service line, divisions and providers. This position assists with internal and external coding audits and with documentation education for providers and coders. Additionally, oversees the day-to-day production of the charge entry staff and ensures that charges are timely and accurate for both the facility and the professional revenue as needed.