Health Information Management Coder Lead - Tyler Woodgate Centre
Christus Health
- Tyler, TX
- Permanent
- Full-time
- Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders.
- Abide by standardized, organization-wide policies and procedures to monitor the success and quality of coding.
- Able to role model industry best practices for use of technology; job shadow and coach associates in appropriate coding workflows.
- Will review internal and external audit results, to identify global and individual areas for improvement.
- Able to perform remediation audits, computing audit template using Excel to calculate coding accuracy.
- Coach coding associates based on internal and external audit results, or based upon coding needs.
- Actively collaborate with Unbilled Analysts to complete billing workflow changes to reduce billing errors.
- Manage and work billing reports, such as Connance, to provide timely corrections to accounts in questions, ensuring billing is not impacted.
- Assists in implementing new systems and/or processes, to improve back-end billing errors.
- Acts as coding liaison, proving expertise in coding, charging, DRG assignments, APC assignments, modifier application, special projects and denials.
- Analyzes audit results to identify areas of opportunity.
- Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.
- Abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system.
- Validates admit orders and discharge dispositions.
- Works from assigned coding queue, completing and re-assigning accounts correctly.
- Manages accounts on ABS Hold or through Epic WQs using account activities, finalizing accounts when corrections have been made, in a timely manner.
- Meets or exceeds an accuracy rate of 95%.
- Meets or exceeds the designated CHRISTUS Health Productivity standard per chart type.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
- Assists in implementing solutions to reduce backend errors.
- Identifies and appropriately reports all hospital-acquired conditions (HAC).
- Expertly queries providers for missing or unclear documentation, by working with the HIM department and Clinical Documentation Improvement Specialists.
- Participates in both internal and external audit discussions.
- Strong written and verbal communication skills.
- Able to work independently in a remote setting, with little supervision.
- Strong understanding of departmental systems technology (i. e. Microsoft Office, EHR, Encoder, Teams, etc.)
- All other work duties as assigned by the Manager.
- High school Diploma or equivalent years of experience required.
- Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program preferred.
- 5 years of Inpatient and/or Outpatient coding experience in an acute care setting preferred.
- Registered Health Information Administrator (RHIA) (AHIMA) preferred.
- Registered Health Information Technician (RHIT) (AHIMA) preferred.
- Certified Coding Specialist (CCS) (AHIMA) preferred.
- Certified Professional Coder (CPC) (AAPC) preferred.