Summary:

Supervises the day-to-day operations of the HIS Coding Unit. Coordinates the coding related aspects of the Danbury Hospital Compliance Plan, including quality monitoring, staff education, policy development and internal reporting related to ICD-9-CM/ICD-10-CM, CPT-4 and DRG/APC assignment. Accountable for quality, timeliness, completeness and accuracy of IP, OP and ED coding, abstracting, data entry for optimal reimbursement and statistical purposes.

Responsibilities:

1. Supervises workflow to ensure timely bill submission, as well as, individual coder work assignment in various record categories to balance productivity with coder skill development & individual competence.
2. Performs actual coding & abstracting duties as necessary to maintain workflow. Ensures coding is based on physician documentation. Works to obtain complete documentation when necessary and helps to identify areas of documentation that need improvement.
3. Performs ongoing compliance audits on Coding/DRG/APC assignment quality and completeness, analyzes findings & submits written reports to manager.
4. Maintains a working knowledge of ICD-9-CM/ICD-10-CM, CPT-4 coding principles, governmental regulations, Seimen's Invision, SoftMed and 3M software, third party billing protocol requirements, as well as, trends in the prospective payment system.
5. Remains current with ICD-9 and ICD-10 regulatory& code changes. Assists Coding Trainer & Director in ICD-10 training of coders & providers as needed.
6. Monitors financial and management reports, as well as, service agreements with vendors to assure correct & timely processing of information.
7. Troubleshoots SoftMed ClinTrac, invision and 3M by closely working with ITG, system administrators & vendor to ensure timely resolution.
8. Coordinates correction of coding related CHIME data elements errors and helps to identify system or data quality problems to reduce future errors & ensure system correction & management notification as necessary.
9. Coordinates staff orientation, mentors and conducts performance evaluations to build a strong team while assuring quality of service.
10. Follows up and tests any system upgrades that impact coding & abstracting.
11. Works closely with business office and follows up on uncoded records & denials.
12. Fulfills all compliance responsibilities related to the position.
13. Performs other duties as assigned.

Other Information:

Required: CCS required.
Minimum Experience: five years
Desired: Bachelors Degree preferred. RHIA or RHIT preferred. Previous experience with supervisory responsibility. Knowledge of ICD-9 and ICD-10 coding.

Company: Western CT Health Network Inc

Org Unit: 265

Department: Coders

Exempt: Yes

Salary Range: $33.66 - $67.05 Hourly