Coding Team Lead (PRN, Work From Home)

GENERAL SUMMARY OF DUTIES – The Coding Lead performs internal quality assessment reviews

on Health Information Management Service Center (HSC) coders to ensure compliance with national

coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and

consistent coding that result in appropriate reimbursement and data integrity. Works with the team to

improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices

and improve the quality of physician documentation within the body of the medical record to support code

assignments. Provides coder specific education and global coding education based on review findings and

trends.

SUPERVISOR – Coding Manager

SUPERVISES – N/A

DUTIES INCLUDE BUT ARE NOT LIMITED TO:

ï‚· Leads, coordinates and performs all functions of quality reviews (routine, policy driven and incentive

plan driven) for inpatient and outpatient coding across multiple facilities

ï‚· Assists Coding Manger in the review and improvement of processes and services

ï‚· Coordinates coder training and orientation in conjunction with Coding Manager and SSC Education

staff

ï‚· Reports to the Coding Manager periodically on team and individual work accomplishments, problems,

progress in mastering tasks and work processes, and individual and team training needs

ï‚· Coach, facilitate, solve work problems, and participate in the work of the team

ï‚· Assists the Coding Manager in capturing coding staff productivity

ï‚· Assists in ensuring coding staff adherence with coding guidelines and policy

ï‚· Assists in ensuring coding compliance and reports status to the Coding Managers and Coding Director

ï‚· Coordinates Case Mix Index and Benchmark analysis functions

ï‚· Assures accounts that can not be coded are held for valid reasons and documented accurately utilizing

Unbilled Reason Codes (URCs)

ï‚· Prepares facility, HSC, division, group, or Corporate-specific reporting requirements

ï‚· Assists in strategic planning and budgeting of the coding quality review function

ï‚· Occasionally provides back up for coders

ï‚· Coordinates activities related to development and education

ï‚· Reviews an average of 4 inpatient records per hour with 95% accuracy

ï‚· Reviews an average of 5 outpatient surgery records per hour; or 5 observation records per hour; or 20

ER records per hour; or 30 ancillary records per hour with 95% accuracy

ï‚· Promptly report issues or trends to the HSC Coding Manager(s) and/or HSC Coding Director

Manages, leads and participates in interdepartmental/multidisciplinary team meetings, committees

and/or task force(s)

ï‚· Assist in ensuring Coder compliance with HCA Regulatory Coding Compliance educational

requirements and policies

ï‚· Initiates physician queries in compliance with Company and HSC policy where appropriate

ï‚· Meets all educational requirements as stated in current Company and HSC policy

ï‚· Reviews all official data quality standards, coding guidelines, Company policies and procedures, and

clinical/medical resources to assure coding knowledge and skills remain current

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ï‚· Practice and adhere to the “Code of Conduct†philosophy and “Mission and Value Statementâ€

ï‚· Other duties as assigned

KNOWLEDGE, SKILLS & ABILITIES

ï‚· Coding Technical skills- extensive regulatory coding (ICD-9-CM, CPT-4, MS-DRGs) and associated

reimbursement knowledge

 Case Mix Index Analytical skills – ability to analyze trends in CMI and determine root cause and

address as appropriate

 Effective Decision Making – relating and comparing; securing relevant information and identifying

key issues; committing to an action after developing alternative courses of action that take into

consideration resources, constraints, and organizational values

 Initiative – independently takes prompt proactive steps toward problem resolution

 Organization – establishing courses of action to ensure that work is completed efficiently; proactively

prioritizes assignments and keen ability to multi-task

ï‚· Communication - communicates clearly, proactively and concisely with all key stakeholders

ï‚· Leadership - leads individuals and groups toward desired outcomes, setting high performance

standards and delivering leading quality services

ï‚· Customer orientation - establishes and maintains long-term customer relationships, building trust and

respect by consistently meeting and exceeding expectations

ï‚· Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures

and systems

ï‚· PC skills - demonstrates proficiency in Microsoft Office applications and others as required

 Quality Orientation – accomplishing tasks by considering all areas involved, no matter how small;

showing concern for all aspects of the job; accurately checking processes and tasks; being watchful

over a period of time

 Work Independently – is self-supporting; not needing to rely on others to complete a job

 Building and Maintaining Strategic Working Relationships – develops collaborative relationships to

facilitate the accomplishment of work goals. Possesses good interpersonal skills in building,

negotiating, and maintaining crucial relationships

 Managing conflict – dealing effectively with others in an antagonistic situation; using appropriate

interpersonal styles and methods to reduce tension or conflict between two or more people

 Mentor and Educate – provides timely guidance and feedback to help strengthen the knowledge/skill

set of others to accomplish a task or solve a problem

EDUCATION

ï‚· Undergraduate degree in HIM/HIT required

ï‚· Equivalent work experience may substitute degree requirement

EXPERIENCE

ï‚· Management/Supervisory experience in healthcare related field preferred

ï‚· Minimum of 5 years acute care inpatient/outpatient coding experience required

ï‚· Minimum of 3 years coding auditing/monitoring experience strongly preferred

CERTIFICATE/LICENSE - RHIA, RHIT and/or CCS required.