[Hiring] Hospital Coding Liaison @Baptist Health

Role Description

Multifacility responsibility for ensuring all aspects of coding is carried out accurately and efficiently through chart reviews, problem account resolution, and coding education according to established rules and regulatory guidelines across Orlando Health System.

Responsibilities

• Performs focused review for accuracy of principal and secondary diagnoses, co-morbid conditions and complications, procedure code assignments, and other required abstracted elements according to provider documentation in the medical record for billing compliance, quality reporting, and optimal reimbursement.
• Maintains and achieves the highest standards of coding quality by assigning accurate ICD-10-CM and ICD-10-PCS or CPT-4 codes utilizing an electronic encoder application.
• Acts as subject matter expert on coding guidelines and responds promptly to internal and external requests.
• Participates and provides expert feedback during coding section meetings and coding education in services.
• Develops and presents educational materials to key stakeholders to support accurate and compliant coding.
• Interacts and communicates effectively with coders, physicians, physician extenders, and members of the coding and management team.
• Collaborates with manager and other members of the Revenue Management Team to review patient records for accurate coding.
• Identifies trends from review findings and formulates recommendations for corrective action plans.
• Assists with Discharge Not Final Billed (DNFB) account reviews to ensure timely code completion and accurate billing.
• Acts as a team leader and support for regional manager.
• Assists with system testing, reporting, data trending, and troubleshooting coding applications.
• Serves as a preceptor to new coders.
• Complies with the Standards of Ethical Coding as set forth by AHIMA and AAPC.
• Attends departmental and interdepartmental meetings as required.
• Utilizes resource material available in department to support coding practices.
• Maintains reasonably regular, punctual attendance consistent with Orlando Health policies.
• Maintains compliance with all Orlando Health policies and procedures.

Inpatient Liaison – Hospital inpatient

• Advanced knowledge of sequencing guidelines for diagnosis and procedure codes.
• Demonstrates strong understanding of mortality and other coding impacted quality initiatives.
• Collaborates with Clinical Document Excellence (CDE), Quality Management and other departments for DRG assignments.
• Assists in coding any Inpatient as needed.

Outpatient Liaison – Hospital outpatient

• Advanced knowledge of ICD-10 and CPT coding.
• Advanced knowledge of NCCI and external payer edit resolution.
• Assists in coding any outpatient cases as needed.

Radiation Oncology Liaison – Hospital and Outpatient

• Advanced knowledge of ICD-10 and CPT coding in the radiation oncology field.
• Advanced knowledge of radiation oncology modalities and billing rules.
• Advanced skill level in radiation oncology modality procedure charge validation.
• Advanced skill level in reading treatment plans to identify MUEs and devices.

Qualifications

• Associate’s or bachelor’s degree in Health Information Management; OR completion of coding certificate program.
• Thorough knowledge of official coding guidelines as per AMA, AHA, and CMS.
• Computer literacy, knowledge of Anatomy, Physiology and Medical Terminology required.
• Liaison coding skills test of 90% or better.
• Advanced level knowledge of anatomy, physiology, pathophysiology, pharmacology, and medical terminology.

Licensure/Certification

• Certified Coding Specialist (CCS), Registered Health Information Administrator (RHIA), Registered Health Information Technician (RHIT) through AHIMA.
• Certified Professional Coder (CPC) through the American Academy of Professional Coders.
• Certified Outpatient Coder (COC).

Experience

• Seven (7) years of relevant hospital inpatient and/or outpatient coding experience required.
• One (1) year of teaching hospital coding experience preferred.
• Three (3) years of Radiation Oncology coding experience in lieu of teaching hospital experience required (Radiation Liaison Only).