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Position Details

Department: Coding - IP
Category: Any
Location: Phoenix
Posting #: 421033
Date Posted: 10/31/2018
Employee Type: Regular

Position Summary

Posting Note: #PCHCB

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.

PCH Values

  • Family-Centered care that focuses on the need of the child first and values the family as an important member of the care team
  • Excellence in clinical care, service and communication
  • Collaborative within our institution and with others who share our mission and goals
  • Leadership that set the standard for pediatric health care today and innovations of the future
  • Accountability to our patients, community and each other for providing the best in the most cost-effective way.

Position Duties

  1. Supervision
    • Daily monitors and updates Coding Manager on status of the fatal edit report. Closely monitors the fatal edit prelag report so bills are dropped in a timely manner and without any edits or coding delays. Troubleshoots and establishes goals with the Coding Manager for a positive and consistent cash flow.
    • Ensures that staff are meeting both quality and quantity productivity standards.
  2. Planning
    • Establishes departmental work schedule to ensure proper coverage based on volumes and work types. Plans ahead for PTO and holidays. Approval of overtime discreetly. Supervises daily operational activities that directly involve coding, abstracting, and assignment of E&M levels. Monitors quality and quantity of staffs performance. Must have a full understanding of revenue cycle and compliance regulations. Oversees the facility-wide coding and abstracting process to ensure that we are capturing all the correct data for PHIS and State reporting. Participates in continuing education activities to enhance knowledge and skills, and to maintain current credentials.
  3. Compliance
    • Maintains and updates HIM policies and guidelines regarding coding and abstracting, and internal quality reviews, to reflect current practices and ensure compliance with applicable laws, rules and regulations. Researches complex coding issues to determine accurate code assignment. Communicates with Coding Staff regarding current policies and procedures.
  4. Collaboration
    • Works closely the Revenue Cycle Team to ensure all Bill Edits and DRG denials are being reviewed in a timely manner. Will assist Coding Manager with all Coding Denials with staff.
    • Works closely with IT to ensure all coding updates are tested and installed within time frames
  5. Departmental standards
    • Promotes the department by dressing and communicating professionally.
    • Promotes positive internal and external customer relations through prompt and courteous service.
    • Demonstrates strong communication skills and attention to detail by responding timely to emails and projects.
    • Participates in a variety of department, unit and hospital educational programs to maintain current skill and competency levels.
    • Attends required meetings.
    • Works independently and in a team environment.
    • Open to change and considerable variety in work activities; effortlessly adjusting to new or changing situations and unexpected events; altering one's approach to tasks and project with minimal loss of efficiency
  6. Performs miscellaneous job related duties as requested.

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Position Qualifications

Please review the following qualifications and specify whether you meet each of the requirements listed.
Do you meet this requirement?
Education
1. Associates in Health Information or related health care field. Required
2. Bachelors in related field Preferred
Do you meet this requirement?
Experience
1. Five years recent experience in an acute hospital with medical record coding and reimbursement utilizing the current version of ICD diagnosis and procedure codes and CPT-4 coding classification systems Required
2. Lead or Supervisory experience Preferred
3. Experience with auditing concepts and principles Preferred
4. Experience with medical terminology, anatomy and physiology, clinical disease processes and pharmacology Preferred
5. Experience with staff training in a health care setting Preferred
Do you meet this requirement?
Certifications/Licenses/Registries
1. RHIA or RHIT or CCS certification from AHIMA Required
Do you meet this requirement?
Special Skills
1. Ability to demonstrate a strong working knowledge of ICD-10. Required
2. Proficient in utilizing word, excel and various coding related databases. For example; the 3M Computerized assisted coding software, internal coding review applications. Required
3. Demonstrates effective written and verbal communication skills. Required
4. Ability to effectively lead and conduct departmental training & weekly huddle meetings Required
Physical Requirements & Occupational Exposure/Risk Potential
1. Physical Requirement - Feeling (sensing textures and temperatures) Occasionally
2. Physical Requirement - Fine Motor Skills (pinching, gripping, etc) Frequently
3. Physical Requirement - Hearing Constantly
4. Physical Requirement - Pushing/pulling Occasionally
5. Physical Requirement - Reaching Occasionally
6. Physical Requirement - Sitting Constantly
7. Physical Requirement - Standing Occasionally
8. Physical Requirement - Talking Constantly
9. Physical Requirement - Walking Occasionally
10. Physical Requirement - Near Vision Constantly
11. Physical Requirement - Far Vision Constantly
12. Physical Requirement - Color Discrimination Frequently
13. Physical Requirement - Use of keyboard, mouse and/or computer equipment Constantly
internal/external
I have reviewed the qualifications, physical requirements and occupational exposure/risk potential for this position and wish to apply