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Coordinator – Professional Coding Quality/Educator

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Business (Non-Clinical)
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182351 Requisition #
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GENERAL SUMMARY:

 

Directly coordinates, oversees and controls the flow of medical record coded information required of the hospital and ambulatory sites for billing/reimbursement purposes. The Coding Coordinator of Quality & Education is responsible for the completeness, accuracy, quality and timely submission of all medical data and supporting documentation for inpatient discharges and outpatient encounters. Acts as the departmental liaison to the activities in the coding reimbursement process. Assesses, designs and evaluates educational programs and processes that are aimed at improving the quality of documentation practices for Henry Ford Health System. Serves as an educational resource for providers and/or coding staff relating to coding and documentation.

 

PRINCIPAL DUTIES AND RESPONSIBILITIES:

  • Responsible for evaluating and conducting coding education in compliance with industry coding standards to physicians, non-physician practitioners and ancillary staff.
  • Responsible for promoting improvements in documentation practices for assigned specialties through frequent interaction with providers.
  • Assists in the development and maintenance of coding education materials and process improvement plans.
  • Required to foster positive interactions with the providers and staff during the educational process.
  • Involved with health system quality and core measure initiatives as they relate to documentation.
  • Available at all times to investigate and respond to coding staff questions.
  • Collaborates with physicians to assist in making sure documentation is complete, accurate and timely allowing accurate coding of the diagnoses and services performed.
  • Oversees and regularly reports to department management on the status of departmental financial objectives and physician productivity as they relate to coding.
  • Monitors the availability, accuracy and quality of all supporting medical documentation required for billing purposes and ensures that all necessary documentation is submitted on a timely basis.
  • Responds to inquiries and concerns expressed by physicians and ancillary departments regarding coding.
  • Assists management in preparations for coding validation audits as needed.
  • Assists in preparation and oversight for coding related third party payor appeals.
  • Responsible to maintain current knowledge of applicable Federal, State and local laws and regulations, the Organizational Integrity Program, Standards of Conduct, as well as other coding policies and procedures in order to ensure adherence in a manner that reflects honest, ethical and professional behavior.
  • Performs other related duties as required.

EDUCATION/EXPERIENCE REQUIRED:

  • High School Diploma or G.E.D. equivalent required
  • Bachelors Degree in Accounting, Business, Healthcare Administration or Medical Record Sciences preferred.
  • Must have a thorough knowledge of anatomy, physiology, pathophysiology, disease processes, medical terminology, pharmacology, and coding systems.
  • Minimum of three years coding experience, specialty coding experience preferred.

CERTIFICATIONS/LICENSURES REQUIRED:

  • Certification as a Registered Health Information Technician (RHIT), RHIT Certification eligibility, or CPC, CPC-A, CCS, CCP, CCA or ICD-10 Trainer certification required.

     Overview

       Henry Ford Health System, one of the largest and most comprehensive integrated U.S. health

       care systems, is a national leader in clinical care, research and education.  The system includes

       the 1,200-member Henry Ford Medical Group, five hospitals, Health Alliance Plan (a health

       insurance and wellness company), Henry Ford Physician Network, a 150-site ambulatory

       network and many other health-related entities throughout southeast Michigan, providing a

       full continuum of care.  In 2015, Henry Ford provided $299 million in uncompensated care.

       The health system also is a major economic driver in Michigan and employs more than 24,600

       employees.  Henry Ford is a 2011Malcolm Baldrige National Quality Award recipient.  The

       health system is led by President and CEO Wright Lassiter III.  To learn more, visit HenryFord.com.

     Benefits

       Whether it's offering a new medical option, helping you make healthier lifestyle choices or

       making the employee enrollment selection experience easier, it's all about choice.  Henry

       Ford Health System has a new approach for its employee benefits program - My Choice

       Rewards.  My Choice Rewards is a program as diverse as the people it serves.  There are

       dozens of options for all of our employees including compensation, benefits, work/life balance

       and learning - options that enhance your career and add value to your personal life.  As an

       employee you are provided access to Retirement Programs, an Employee Assistance Program

       (Henry Ford Enhanced), Tuition Reimbursement, Paid Time Off, Employee Health and Wellness

       and access to day care services at Bright Horizons Midtown Detroit, and a whole host of other

       benefits and services.

      Equal Employment Opportunity/Affirmative Action Employer

        Equal Employment Opportunity / Affirmative Action Employer Henry Ford Health System is

        committed to the hiring, advancement and fair treatment of all individuals without regard to

        race, color, creed, religion, age, sex, national origin, disability, veteran status, size, height,

        weight, marital status, family status, gender identity, sexual orientation, and genetic information,

        or any other protected status in accordance with applicable federal and state laws.

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