Coding Coordinator, Hospital Billing IP Coding

Hennepin Healthcare; Minneapolis (MN); Remote; USD 58,000 - 78,000; Full time

Job summary

Hennepin Healthcare in Minnesota is seeking a remote IP Coding professional for the Hospital Billing department. The role supports workflow improvements and oversees scheduling of coder training while ensuring timely submission of professional billing charges per regulatory guidelines.

Responsibilities include guidance on ICD-10-CM/PCS, HCPCS, CPT, and participating in coding audits, with a focus on accuracy and productivity within Epic and 3M interfaces.

Qualifications

• Associate's degree in health information management or related field.
• Two years of coding experience required.
• Alternative combo of education and experience accepted.

Responsibilities

• Assists coders in determining accurate code selection, communication requests, and educational information to internal and external customers.
• Provides timely and consistent information regarding ICD-10-CM/PCS, HCPCS, and CPT so that the most accurate codes can be assigned for data collection and reimbursement.
• Serves as a resource for coding questions.
• Recommends changes to enhance department productivity and effectiveness as well as meet/maintain HHS's quarterly coding accounts receivable goals.
• Participates in ongoing internal and external audits.
• Reviews new team member training outcomes on a regular and timely basis.
• Evaluates the medical record documentation for procedures and diagnoses and assigns codes accordingly.
• Serves as expert resource for coding and abstracting issues and reimbursement implications.

Skills

CPT/HCPCS knowledge

ICD-10-CM/PCS

HIPAA knowledge

Education

Associate's degree in Health Information Management or related

Tools

Epic EMR

Encoder systems

Reimbursement systems

Job description

Department: Hospital Billing

IP Coding

FTE: 1.00 (80 hours per pay period)

Workdays: Monday - Friday

Shift(s): Days

Shift Length: 8 hours

Location: Remote*

*Current List of non-MN States where Hennepin Healthcare is an Eligible Employer: Alabama, Arizona, Arkansas, Delaware, Florida, Georgia, Idaho, Illinois, Indiana, Iowa, Kansas, Louisiana, Mississippi, Nevada, North Carolina, North Dakota, New Mexico, South Carolina, South Dakota, Tennessee, Texas, Utah, Virginia, Wisconsin.

Purpose of this position: Supports workflow process/improvements implemented in department. Oversees scheduling of coder training as well as timely submission of professional billing inpatient charges in accordance with regulatory guidelines. Reviews and assigns codes for all diagnoses and procedures according to accepted coding guidelines, regulations, and standards for ICD9-CM and HCMPCS/CPT, as well as those determined by various payers. Maintains productivity standards in place for advanced coders.

RESPONSIBILITIES

• Assists coders in determining accurate code selection, communication requests, and educational information (both written and oral) to internal and external customers, to assist the department in meeting their goals
• Provides timely and consistent information regarding ICD-10-CM/PCS, HCPCS, and CPT so that the most accurate codes can be assigned for data collection and reimbursement
• Serves as a resource for coding questions
• Recommends changes to enhance department productivity and effectiveness as well as meet/maintain HHS's quarterly coding accounts receivable goals
• Participates in ongoing internal and external audits
• Assists in ensuring the automated coding systems, interfaces, and processes are working effectively and efficiently daily. This includes EPIC, Optum, and 3M systems
• Reviews new team member training outcomes on a regular and timely basis
• Evaluates the medical record documentation for procedures and diagnoses documented in the medical record and accurately assigns ICD-10-CM/PCS, HCPCS, and CPT codes based on National Coding Guidelines
• Serves as expert resource for issues relating to coding and abstracting of evaluation and management codes, diseases/procedures, and implications on reimbursement
• Serves as a resource in the areas including, but not limited to the following: coding data quality, coding audits, in-service/physician education, and training team
• Performs other duties as assigned

QUALIFICATIONS

Minimum Qualifications

• Associate's degree in business and/or healthcare administration, Health Information Management, or Health Information Technology
• Two (2) years of coding experience
• OR
• An approved equivalent combination of education and experience

Preferred Qualifications

• Registered Health Information Administrator (RHIA), Registered Health Information Technologist (RHIT), Certified Professional Coder (CPC), or Certified Coding Specialist-Physician (CCS-P)
• Experience with Epic electronic medical record functionality and encoder and reimbursement systems recommended
• Other approved AHIMA or AAPC credential

Knowledge/ Skills/ Abilities

• Must have extensive and demonstrated expertise in CPT, HCPCS, and ICD-10-CM/PCS coding classification systems
• Knowledge of state and federal legislation for HIPAA Privacy, medical record access, and regulatory and accreditation agencies
• Knowledge of current medical record technology, statistics, data presentation, and reporting