Description
Job Summary: Job incumbent uses advanced knowledge of coding and compliance to coordinate the training, implementation and ongoing education of staff that support coding for Tanana Chiefs Conference.
Adhere to the TCC Ch'eghwtsen' model of service and guiding principle which requires providing timely and effective service along with the ability to interact with others in a way that inspires trust and demonstrates respect, compassion and empathy.
Essential Functions: This list is ILLUSTRATIVE ONLY and is not a comprehensive listing of all functions and tasks performed by incumbent(s).
Representative Duties: Under the direct supervision of the Revenue Cycle Manager, job incumbent will:
- Directly Supervises coding team & provides them with continuous training and education. Directly responsible for assuring coders meet accuracy and productivity standards.
- Audit medical record documentation to identify undercoded and upcoded services; prepares reports of findings and meets with providers to provide education and training on accurate coding practices and compliance issues.
- Researches, analyzes, and responds to inquiries regarding compliance, inappropriate coding, denials, and billable services.
- Interacts with physicians and other patient care providers regarding billing and documentation policies, procedures, and regulations; obtains clarification of conflicting, ambiguous, or non-specific documentation.
- Trains, instructs, and/or provides technical support to Medical Providers and Medical Coders as appropriate regarding coding compliance documentation, and regulatory provisions, and third party payer requirements.
- Interacts with providers and management to review and/or implement codes and to update charge documents.
- Ensures strict confidentiality of records.
- Attends coding conferences, workshops, and in-house sessions to receive updated coding information and changes in coding and/or regulations.
- Codes encounters and ensures that the coding queue is up to date.
- Performs miscellaneous job-related duties as assigned
Other Responsibilities:
1. Perform other job related duties as assigned
Minimum Qualifications:
- High School Diploma or GED equivalent, Associate’s or Bachelor’s degree in related field preferred.
- Any combination of education, training or experience that demonstrates the ability to perform the duties of the position preferred may be substituted for the degree preference.
- Must have current coding certification from American Academy of Professional Coders or American Health Information Management Association.
- Knowledge of CFR 42 part 2, HIPAA and HITECH required.
- Four years of coding experience preferred.
- Must maintain strict confidentiality in compliance with HIPAA and HITECH Act standards
- Must pass background check pursuant to federal Indian Child Protection and Family Violence Prevention Act requirements and State of Alaska background check.
- Membership in AAPC and/or AHIMA required.
Knowledge, Skills and Abilities:
- Advanced knowledge of medical terminology, anatomy, Coding Guidelines, ICD-10CM, CPT-4, and HCPCS coding.
- Knowledge of current and developing issues and trends in medical coding procedure requirements.
- Knowledge of auditing concepts and principals.
- Knowledge of patient care charts and documentation standards.
- Strong verbal, written, analytical, and interpersonal skills.
- Demonstrated ability to prioritize tasks and work independently.
Supervision: This position has supervises up to 15 coding positions.
Physical demands: Work is performed in a typical office work environment. Extensive hours will be spent at the computer and reading different fonts and handwriting styles. Incumbent has high contact with providers and other patient care providers which make communication and interpersonal skills important. Strict confidentiality is required.
Summation: Job incumbent must have advanced knowledge of medical coding compliance consistent with State and Federal standards.
