Stormont Vail Health

Position Status:

Full time

Shift:

Hours per week:

40

Job Information

Exemption Status: Non-Exempt

A Brief Overview

The Coding Team Leader provides leadership and guidance to ensure ongoing coding quality and compliance with regulatory guidelines. Assists in monitoring of daily, weekly, and monthly coding processes.

Experience Qualifications

• 1 year Experience coding Professional Claims to include assignment of ICD-9CM/ICD-10 and CPT/HCPCS code assignment. Required
• Experience with HCC Coding. Preferred

Licenses and Certifications

• Certified Coding Specialist-Physician-Based (CCS-P) - AHIMA Required within the first 6 months and one of the following other credentials required: CPC (Certified Professional Coder), RHIT (Registered Health Information Technician), RHIA (Registered Health Information Administrator). Required

What you will do

• Responsible for collecting accurate and timely productivity data and sharing information with the appropriate staff and responsible for providing reports to Director as requested in a timely manner. Maintains productivity stats and updates reports weekly.
• In collaboration with Director will ensure timely completion and updates to all department policies & procedures and implementation of LEAN standard work for coding procesesses.
• Ability to troubleshoot work queue issues, take appropriate actions towards resolution, and follow up. Reports to Director when appropriate.
• Reviews deferred claims and takes appropriate follow up action towards resolution with providers and coding staff. Reports all unresolved issues to Director as appropriate for further action.
• Serves as backup coder during backlog/high volume or coder absences by utilizing appropriate assignment of ICD-9-CM/ICD-10-CM and CPT/HCPCS procedure coding per coding guidelines while maintaining accuracy requirements.
• Serves as a resource to all providers/clinic and coding staff for coding inquiries.
• Interacts with providers/clinic staff to ensure proper coding/claim submission when appropriate when resolving coding issues.
• Assists in identification of educational opportunities for providers/clinic and coding staff as appropriate and works in collaboration with Director and Coding Education Coordinators for implementation.
• During Director absence, will lead coding activities and problem solve issues as appropriate to maintain department workflow on short-term basis until Director returns. Will communicate any changes effectively to Director.
• Commitment to LEAN/Performance Excellence processes established within the coding department and ability to identify process improvements.

Required for All Jobs

• Complies with all policies, standards, mandatory training and requirements of Stormont Vail Health
• Performs other duties as assigned

Patient Facing Options

• Position is Not Patient Facing

Remote Work Guidelines

• Workspace is a quiet and distraction-free allowing the ability to comply with all security and privacy standards.
• Stable access to electricity and a minimum of 25mb upload and internet speed.
• Dedicate full attention to the job duties and communication with others during working hours.
• Adhere to break and attendance schedules agreed upon with supervisor.
• Abide by Stormont Vail’s Remote Worker Policy and will review and acknowledge the Remote Work Agreement annually.

Remote Work Capability

• Hybrid

Scope

• No Supervisory Responsibility
• No Budget Responsibility No Budget Responsibility

Physical Demands

• Balancing: Rarely less than 1 hour
• Carrying: Rarely less than 1 hour
• Climbing (Stairs): Rarely less than 1 hour
• Eye/Hand/Foot Coordination: Frequently 3-5 Hours
• Feeling: Occasionally 1-3 Hours
• Grasping (Fine Motor): Occasionally 1-3 Hours
• Grasping (Gross Hand): Occasionally 1-3 Hours
• Handling: Occasionally 1-3 Hours
• Hearing: Frequently 3-5 Hours
• Kneeling: Rarely less than 1 hour
• Lifting: Occasionally 1-3 Hours up to 10 lbs
• Pulling: Occasionally 1-3 Hours up to 10 lbs
• Pushing: Occasionally 1-3 Hours up to 10 lbs
• Reaching (Forward): Rarely less than 1 hour up to 10 lbs
• Reaching (Overhead): Rarely less than 1 hour up to 10 lbs
• Repetitive Motions: Continuously greater than 5 hours
• Sitting: Continuously greater than 5 hours
• Standing: Occasionally 1-3 Hours
• Stooping: Rarely less than 1 hour
• Talking: Frequently 3-5 Hours
• Walking: Occasionally 1-3 Hours

Working Conditions

• Dusts: Rarely less than 1 hour

Stormont Vail is an equal opportunity employer and adheres to the philosophy and practice of providing equal opportunities for all employees and prospective employees, without regard to the following classifications: race, color, ethnicity, sex, sexual orientation, gender identity and expression, religion, national origin, citizenship, age, marital status, uniformed service, disability or genetic information. This applies to all aspects of employment practices including hiring, firing, pay, benefits, promotions, lateral movements, job training, and any other terms or conditions of employment.

Retaliation is prohibited against any person who files a claim of discrimination, participates in a discrimination investigation, or otherwise opposes an unlawful employment act based upon the above classifications.