Yale New Haven Health System

Overview

To be part of our organization, every employee should understand and share in the YNHHS Vision, support our Mission, and live our Values. These values - integrity, patient-centered, respect, accountability, and compassion - must guide what we do, as individuals and professionals, every day.

The position of Coordinator, Professional Coding Services is responsible for collaborating on coding revenue cycle functions, process improvement, and training needs. Coordinates within a coding team-based structure to oversee specialty-based charging functions, coding, clinical document needs, and Epic enhancements and streamline efforts. Serves as the primary point of contact for coding and charging inquires for assigned practices and NEMG specialties.

EEO/AA/Disability/Veteran

Responsibilities

• 1. Coding Revenue Cycle Management:
  • 1.1 Oversee coding revenue cycle streams for assigned clinical practices and specialties.
• 2. Collaboration and Workflow Optimization
  • 2.1 Collaborate with physician leadership and practices to enhance clinical workflows and reduce coding-related denials.
• 3. Reporting and Analysis
  • 3.1 Prepare and analyze reports to identify coding trends and documentation errors.
• 4. Compliance and Training
  • 4.1 Monitor, communicate, and integrate coding and documentation compliance requirements into coding operations.
• 5. Research and Root Cause Analysis
  • 5.1 Research new programs, services, and codes to determine coding and charging needs.
• 6. Denial Management and Improvement
  • 6.1 Manage coding-related denials by service and implement corrective measures.
• 7. Stakeholder Communication
  • 7.1 Consult with Legal Office, Compliance, and Payer Strategy as needed.
• 8. Special Projects and Initiatives
  • 8.1 Participate in special program workgroups and business planning sessions.
• 9. Customer Service and Escalation
  • 9.1 Oversee and coordinate escalated customer service complaints.
• 10. Additional Responsibilities
  • 10.1 Create and implement workflows, reporting, and/or other needs to support the efficiency of the coding revenue cycle stream and to communicate out to key stakeholders

Qualifications

EDUCATION

Associates degree required. Bachelor's degree or enrolled in a bachelor's degree program or 4+ years of supervisory/managerial experience in lieu of a degree preferred. Master's degree is a plus.

EXPERIENCE

A minimum of 3 to 5 years in healthcare revenue cycle and/or a clinical practice setting. A minimum of at least 1 year in a leadership or supervisory position required. Previous experience with coding/denials, budgeting, reimbursement/claims management, data analysis and relationship management preferred.

LICENSURE

AHIMA or AAPC coding credential preferred.

SPECIAL SKILLS

Presentations and written communication skills necessary. Extensive knowledge of third-party insurance billing regulations directly related to coding. Intermediate excel skills are required. Must be comfortable navigating ambiguity, independently assessing needs and implementing solutions.

PHYSICAL DEMAND

May require travel depending on assignment

YNHHS Requisition ID

139785