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Lead Coding Coordinator Internal Only

Company: MyMichigan Health
Location: Midland
Posted on: August 4, 2022

Job Description:

Summary General Summary This position is responsible for all training of new and established employees in office and procedural coding processes relating to major and minor surgical cases. Additionally this position will perform quality audits of established employees providing them consistent and on-going feedback. The position is responsible for creating and updating training and procedure manuals and materials. The position acts as a resource for coding questions within the coding Resource Department. The position monitors compliance with third party payer guidelines while ensuring the maximum allowed reimbursement is attained. This position requires broad knowledge of current payer rules for all insurance companies we participate with in addition to analytical skills to ensure all procedures are coded correctly to ensure timely and accurate reimbursement from all payers. This position must be able to work independently and make decisions based on their broad knowledge of CPT and ICD-10 coding rules and regulations. This position will also provide coding coverage while the new employee is in training.
Essential Duties & Responsibilities

(25%)* Coordinates education and training for new and established employees of the Coding Resources Team to ensure they are trained in a consistent and appropriate manner according to coding guidelines. (25%)* Trains new and established employees in office packet procedures and all major and minor surgical cases, including obstetrics, performed in both the office and hospital setting within 48 hours of receipt. Communication with Coding Resources Supervisor regarding employee progress during the training period. (25%)* Establishes and monitors new employee productivity and quality standards. (25%)* Responsible for accurate and timely processing of assigned office coding including E/M, procedural and surgical coding. Research coding guidelines using various resources for education purposes. OTHER DUTIES AND RESPONSIBILITIES:
Stays current with knowledge of coding changes and rules as appropriate. Develops materials for departmental education based on findings. Acts as a resource for all coding questions in the Coding Resources Department and provide feedback as needed. MidMichigan Health is a technology driven organization and employees need to demonstrate competency in Microsoft Windows. Employees may be required to participate in further learning opportunities offered by MidMichigan Health
High School Diploma or GED required Associates degree preferred with an RHIT designation, CPC, CCS, CCSP, RHIT, or RHIA - Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA). Effective May 1, 2019 all new hires must be RHIA or RHIT eligible and successfully complete the certification exam within six (6)months of hire and maintain the certification to meet the requirements of the position. Any MidMichigan Health employee hired prior to January 28, 2020 and has a Certified Professional Coder (CPC) or Certified Coding Specialist-Physician Office (CCS-P) certificate, without an RHIT designation is grandfathered. They must however maintain the certification to meet the requirements of the position. Fingerprinting required. Four (4) years experience in relevant working field with two (2) years experience with physician coding and billing. One (1) year with direct physician contact. Three (3) years physician coding and billing experience preferred and two (2) years with direct physician contact. Must possess strong leadership skills with ability to build and maintain team dynamics and problem solving skills. Must have strong computer applications knowledge. Knowledge of medical record/patient confidentiality laws. Strong interpersonal, written and communication skills required. Knowledge of medical terminology and anatomy preferred. Prefer five (5) years experience in a healthcare setting with extensive knowledge of CPT, ICD-10, HCPS and documentation guidelines. PHYSICAL/MENTAL REQUIREMENTS AND TYPICAL WORKING CONDITIONS:
Exposure to stressful situations, including those involving public contact, as well as, trauma, grief and death. Able to wear personal protective equipment that includes latex materials or appropriate substitute if required for your position. Is able to move freely about facility with or without an assisted device and must be able to perform the functions of the job as outlined in the job description. Overall vision and hearing is necessary with or without assisted device(s). Frequently required to sit/stand/walk for long periods of time. May require frequent postural changes such as stooping, kneeling or crouching. Some exposure to blood borne pathogens and other potentially infectious material. Must follow MidMichigan Health bloodborne pathogen and TB testing as required. Ability to handle multiple tasks, get along with others, work independently, regular and predictable attendance and ability to stay awake. Overall dexterity is required including handling, reaching, grasping, fingering and feeling. May require repetition of these movements on a regular to frequent basis. Physical Demand Level: Sedentary. Must be able to occasionally (0-33% of the workday) lift or carry 0-10 lbs.

Keywords: MyMichigan Health, Midland , Lead Coding Coordinator Internal Only, Other , Midland, Michigan

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