Industry: Health Care Position: HIM Coding Review Manager/Coder Trainer Auditor Duration: 4 - 6 Months(Possible Extension)
Location: Pasadena, CA
Coordinates monitors and audits all lines of hospital business for coding, to include: all outpatient, inpatient, HOV, ED and Ambulatory surgery cases. Monitors the accuracy and quality of coding assignments, Present on Admission (POA) indicators and conducts internal coding audits.Responsible for being the regional coding contact person for the HIM department to work with Clinical Documentation Specialists to support education and coding requirements.
Develops reports of audit results to Regional and facility staff and Senior Management. Helps set the direction for coding and compliance education and focused projects related to the KPHC (KP Health Connect-EHR).
Provide oversight and training for “Coding Compliance Software” to the coding staff.
Run audit selection lists and reports as well as providing education, feedback and guidance based upon data mining activities and processes.
May provide insight into planning, directing and monitoring of Charge Capture Initiatives for Facility and Professional Charges as well as in-patient medical records(for Coding Review Manager) including: CMS, Fiscal Intermediary, Commercial and Self-Funded billing guidelines retrieval, assembly, delivery, abstracting/analyzing, coding, completion, transcriptions, release of information, and vital statistics registration.
May provide (limited) oversight of the accuracy of MIRCal data for OSHPD reporting.
Collaborates with the HIM Director/Manager relating to coding accuracy and coding functions within the department to assure timely and accurate completion of work that is consistent with regulatory agency requirements.
Prepares statistical and or annual coding accuracy reports as requested by state or federal agencies or any other regulatory agency under the direction of their Manager.
Ensures compliance with federal, state and local regulations.
May assist in regional and facility budgets as requested and identifies and recommends opportunities to decrease costs and improve service.
Functions as a liaison for other departments regarding coding questions/issues.
Implements changes resulting from internal or external audits which impact collection and reporting of medical records. Participates in Regional HIM staff meeting and process improvement initiatives.
Management,Training,Certified Coding Specialist