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Employment Type:

Full time

Shift:

Day Shift

Description:

Job Title:

Coding Specialist IV-Team Lead

Employment Type:

Full Time

Shift:

Day

(SUMMARY) Position Highlights:

• Competitive pay

• Additional Benefits: Relocation assistance, tuition reimbursement, free parking

• Quality of Life: Flexible work schedules

• Advancement: Opportunities to advance through the Clinical Advancement Program

• Location: Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD

Description:

• Full-Time

• Reporting to the Coding Operations Manager

• The Team Lead works in collaboration with the Coding Operations Manager and the Coding Coordinator in managing daily coding operations. Reviews electronic health records for clinical documentation and diagnostic results as appropriate to extract data and apply appropriate ICD-9-CM and CPT-4 codes for billing, internal and external reporting, research, and regulatory compliance. Assists in resolving error reports associated with billing process, identifies and report error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors.

Responsibilities:

• Performs job-specific accountabilities ( 80%+ of work time devoted to coding ) or other job functions as assigned by the Manager, or as required to meet customer expectations

• Codes inpatient, complex outpatient, emergency/express care, and clinic and diagnostic services (as their primary work assignment) utilizing encoder software, in the assignment of ICD-9-CM, CPT-4®, and HCPCS codes. Assign codes in accordance with AHA Coding Clinic for ICD-9-CM, AMA CPT Assistant , AHIMA’s Standards of Ethical Coding , as well as URO/HCH established guidelines.

• Navigates the electronic patient health record and other computer systems in determination of diagnoses and procedures to be coded.

• Validates charges, when necessary, by comparing charges with health record documentation.

• Tracks issues (such as missing documentation or charges) that require follow-up to facilitate coding in a timely fashion.

• Queries the physician for documentation clarification.

• Maintains up-to-date knowledge of changes in coding guidelines and regulations. Participates in educational opportunities to enhance knowledge in coding and reimbursement systems. Maintains certification to validate coding skills.

• Communicates effectively with clinical staff, physicians and office staff regarding documentation. Brings identified concerns to appropriate leadership for resolution.

• Meets coding quality and productivity standards established by URO/HCH.

• Excellent Organizational skills and can perform several duties and functions related to daily operations and maintain excellent customer service skills.

• Must be able to perform frequent detailed tasks and provide immediate service with frequent interruptions, as well as have the ability to change and be flexible with work priorities. Must have the ability to problem solve.

• In coordination with the Manager may participate in the efforts to improve service, data integrity, and staff productivity/quality to achieve departmental goals and process outcomes.

• Abides by confidentiality requirements as they relate to the release of individual or aggregate patient information.

• Performs other duties as assigned by Leadership.

What you will need:

• High school diploma or equivalent is required. An Associate’s Degree in Health Information Management or a related field is preferred with four (4) or more years of progressive experience in inpatient and outpatient coding in an acute care hospital setting.

• Must possess a comprehensive knowledge of medical terminology, anatomy and physiology as well as basic disease processes, and basic diagnostic and procedural coding, as normally obtained through a coding certificate program.

• Must be able to demonstrate knowledge of both ICD-9-CM and CPT-4 coding procedures.

• Any one of the following certifications through AAPC or AHIMA: RHIA, RHIT, CCS, CPC, CPC-H

• E xperience utilizing encoding/grouping software with emphasis on CPT-4® coding is required.

• Ability to utilize both manual and automated versions of the ICD-9-CM and CPT4 coding classification systems.

• Must be comfortable functioning in a collaborative, shared leadership environment.

About us:

Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties — Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services.

We were named one of America’s 100 Best Hospitals for 2021.

Holy Cross Health is an Equal Employment Opportunity (EEO) employer.

Our Commitment to Diversity and Inclusion

Trinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran