Fairview Health Services

Responsibilities/Job Description

Job Overview:

Coding Documentation Liaison of Coding Quality and Support is a highly motivated professional who can work with many different roles and influence the need for correct coding and compliance. Coding Documentation Liaisons perform retrospective and prospective Quality Assurance Checks and provide tailored education to providers and coding staff on a regular basis. This role is responsible for one or more Coding and Documentation Quality and Education functions including professional services, hospital billing outpatient services, hospital billing inpatient services. Coding Documentation Liaisons analyze clinical documentation verifying appropriate diagnosis, procedure, DRG, level of service for both revenue and compliance opportunities. Coding Documentation Liaisons analyze documentation and coding reports to identify quality, educational opportunities, and compliance risks to meet regulatory and payer reporting requirements. Coding Documentation Liaisons work collaboratively with Service Line/Domain leaders, providers, coding leaders/staff, compliance, Informatics, Revenue Integrity, Denials, and other key stakeholders to improve the quality of documentation and coding to resolve clinical documentation and charge capture discrepancies.

Position Details:

• 1.0 FTE (80 pay per period)
• day shift
• fully remote, salaried position

Job Expectations:

• Conducts formal meetings and/or team meetings in lieu of Manager as designated.
• Successfully develops and strategizes project plans for delivering highly skilled coding and documentation support and training to a multispecialty system
• Organize, analyze, and present data for the purpose of working with Service Line/Domain executives and leaders, Practice Managers and other stakeholders throughout the organization to outline and institute strategies for improvement.
• Analyze charging practices through financial and activity reports, as well as documentation review, to identify potential opportunities for revenue capture and recognize areas of compliance concern.
• Determines priorities, schedules, and assigns work as required.
• Develops, revises, and maintains work unit policies and procedures.
• Demonstrates maturity and accountability for job performance, supports objectives and goals of the department, and assess areas of personal and professional growth.
• Develop and execute departmental review projects with measurable financial, quality and/or compliance goals per analysis findings.
• Compose correspondence or prepare reports on own initiatives.
• Leads governance taskforce workgroups as assigned.
• May compose correspondence or prepare reports on own initiatives.
• Identify and resolve clinical documentation and charge capture data discrepancies to improve the quality of clinical documentation, severity and reimbursement levels assigned, and integrity of data reported.
• Audit and educate multidisciplinary team members, including providers, as it pertains to frequently changing mandated rules, regulations, and guidelines.
• Meet quality assurance schedule deadlines to meet the organizational corporate compliance report out and departmental standards.
• New provider onboarding to include standard coding and documentation practices at Corporate Orientation, weekly audits and provide 1:1 tailored education.
• Develop educational material based on audit findings, trends and/or regulatory guidelines to meet coding and documentation rules.
• Collaborate with key stakeholders to determine and address trends and educational needs. Make recommendations for efficiency related to edits/hold bills based on findings.
• Assists in reviewing and makes recommendations for physician template updates based on yearly coding changes.
• Create tip sheets, newsletters, hot topics for department and/or organizational use.
• Performs other job-related duties as assigned.

Organization Expectations, as applicable:

• Demonstrates ability to provide care or service adjusting approaches to reflect developmental level and cultural differences of population served.
  • Partners with patient care giver in care/decision making.
  • Communicates in a respective manner.
  • Ensures a safe, secure environment.
  • Individualizes plan of care to meet patient needs.
  • Modifies clinical interventions based on population served.
  • Provides patient education based on as assessment of learning needs of patient/care giver.
• Fulfills all organizational requirements.
  • Completes all required learning relevant to the role.
  • Complies with and maintains knowledge of all relevant laws, regulations, policies, procedures, and standards.
• Fosters a culture of improvement, efficiency, and innovative thinking.
• Performs other duties as assigned.

Minimum Qualifications to Fulfill Job Responsibilities:

Required

Education

• Associate degree in HIM, or equivalent healthcare coding experience.

Experience

• Five years of relevant coding experience.

License/Certification/Registration

• Inpatient Coding: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS)
• Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H)

Preferred

Education

• Bachelor’s degree in HIM or higher

Experience

• Eight years of relevant coding experience.

License/Certification/Registration

• Inpatient Coding: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS)
• Outpatient or Professional Fee Coding: Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Certified Coding Specialist - Professional (CCS-P), Certified Professional Coder - Hospital (CPC-H)

Additional Requirements:

• Basic knowledge of Microsoft-based computer software
• Expert knowledge of ICD-10 and CPT and related coding/abstracting rules and guidelines
• Expert knowledge of medical terminology, anatomy, physiology, and pathophysiology
• Expert knowledge of relationships of disease management, medications and ancillary test results on diagnoses assigned
• Proficiency with computer systems, including electronic health record
• Critical thinking and problem-solving skills
• Highly effective written and verbal communication skills
• Ability to prepare educational materials for coding staff and providers
• Ability to accept cultural differences

Qualifications

$65790.40-$92872.00 Annual