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Tyler

    Medical Management Team Lead - Tyler, TX, United States - Christus Health

    CHRISTUS Health background
    Full time
    Description

    Selected by CHRISTUS Health Coding Leadership, to focus coding skills and expertise to foster an environment of teamwork and service excellence mentoring, training, cross training their designated Regional Inpatient or Outpatient Coding team.

    Coding Lead will work with Coders as a resource to maintain current and high-quality ICD-10-CM, ICD-10-PCS and/or CPT coding for the Inpatient and/or Outpatient diagnoses and procedural occurrences, through the review of clinical documentation and diagnostic results, with a consistent coding accuracy rate of 95% or better.

    Coding Leads will work to ensure Coders abstract data into any and all appropriate CHRISTUS Health electronic medical record systems, verifying accurate patient dispositions and physician data, following the Official ICD-10-CM and ICD-10-PCS Guidelines for Coding and Reporting and AMA CPT Guidelines.

    Coding Lead will act as a liaison for coding related questions, providing clear and concise written or verbal responses, citing official coding guidelines and Coding Clinics.

    Coding Lead will work to resolve error reports associated with the billing process, identify and report error patterns, and, when necessary, assist in performance improvement activities with other team associates.

    Coding Lead will work collaboratively with various CHRISTUS Health departments, including but not limited to HIM and Clinical Documentation Specialists, to ensure accurate and complete physician documentation to support accurate billing and reduce denials.

    Coding Lead will report directly to their Regional Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.

    Abide by standardized, organization-wide policies and procedures to monitor the success and quality of coding.
    job shadow and coach associates in appropriate coding workflows.
    Able to perform remediation audits, computing audit template using Excel to calculate coding accuracy.
    Coach coding associates based on internal and external audit results, or based upon coding needs.
    Actively collaborate with Unbilled Analysts to complete billing workflow changes to reduce billing errors.

    Manage and work billing reports, such as Connance, to provide timely corrections to accounts in questions, ensuring billing is not impacted.

    Assists in implementing new systems and/or processes, to improve back-end billing errors.

    Acts as coding liaison, proving expertise in coding, charging, DRG assignments, APC assignments, modifier application, special projects and denials.

    Assign codes for diagnoses, treatments and procedures according to the ICD-10-CM/PCS Official Guidelines for Coding and Reporting through review of coding critical documentation, to generate appropriate MS/APR DRG.

    Abstracts required information from source documentation, to be entered into appropriate CHRISTUS Health electronic medical record system.
    Works from assigned coding queue, completing and re-assigning accounts correctly.

    Manages accounts on ABS Hold or through Epic WQs using account activities, finalizing accounts when corrections have been made, in a timely manner.

    Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA).
    Assists in implementing solutions to reduce backend errors.
    Identifies and appropriately reports all hospital-acquired conditions (HAC).
    Able to work independently in a remote setting, with little supervision.
    Microsoft Office, EHR, Encoder, Teams, etc.)
    Completion of Accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program preferred.
    5 years of Inpatient and/or Outpatient coding experience in an acute care setting preferred.
    Certified Coding Specialist (CCS) (AHIMA) preferred.
    Full Time
    If you would like to contact us regarding the accessibility of our website or need assistance completing the application process, please contact us at
    Health Information Management Coder Lead - Tyler Woodgate Centre
    CHRISTUS Trinity Clinic
    Facility

    FULL TIME

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