Lead Inpatient Coder
Summary The Lead Inpatient Coder is a Health Information Management Professional possessing significant prior coding experience and a high level of coding proficiency, responsible for assisting management with daily coding activities, department priorities and initiatives, precepting new staff, suggesting workflow enhancements, resolving billing edits and testing EHR updates. The Lead Inpatient Coder is also responsible for collaborating with the Coding staff, CDI and Quality Reviewers to facilitate accurate coding and timely completion. Serves as source for the following: coding questions, remote onboarding training, education, quality & productivity guidelines and workflows. Serves as a lead with other ancillary departments as directed to resolve coding / operations issues.
Job Duties
- Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson
- Performs ICD-10-CM /CPT coding and data abstraction within minimum established accuracy and productivity rates.
- Acts as a lead contact and resource for coding staff related to coding questions and workflow assistance
- Acts as a lead contact for coding related questions and issues from other Hospital departments specifically CDI and Business Services
- Serves as a resource for coding staff for coding and workflow questions, and precepts new staff for onboarding
- Attends mandatory staff education and department meetings. Facilitates coding completion to meet departmental KPIs and goals. Refers coding issues to supervisor in a timely manner for determination and guideline development
Minimum Qualifications
- 10 years coding inpatient medical records.
- Problem Solving Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems, ability to apply this knowledge appropriately to diverse situations.
- Analytical Thinking Knowledge of techniques and tools that promote effective analysis and the ability to determine the root cause of organizational problems and create alternative solutions that resolve the problems in the best interest of the business.
- Effective Communications Understanding of effective communication concepts, tools and techniques, ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors.
- Medical Information Coding Knowledge and ability to translate verbal and written descriptions of diseases, injuries and medical procedures to standard diagnosis and procedure codes used in healthcare reimbursement, assessment of clinical care, medical research, and public health care
- Industry Knowledge Knowledge of the organization's industry group, trends, directions, major issues, regulatory considerations, and trendsetters, ability to apply this knowledge appropriately to diverse situations.
- Initiative Understanding of the value of self-motivation and initiative, ability and willingness to seek out work and the drive to accomplish goals.
- Health Information Concepts & Terminology Knowledge and understanding of health information concepts and terminology to include anatomy, physiology, medical disciplines and diagnoses/procedures/treatments, health information legal/data standards, statistics, data/quality management and computer s
- RHIA - Registered Health Information Administrator - American Health Information Management Association or
- RHIT - Registered Health Information Technician - American Health Information Management Association or
- CPC - Certified Professional Coder - American Academy of Professional Coders or
- CCS - Certified Coding Specialist - American Health Information Management Association
Preferred Qualifications
- Bachelor's Degree in Health Information Management, Nursing, Business Administration, Health Administration or related field
Additional Qualifications Physical Demands Lift and carry 25 lbs. frequent sitting/standing, frequent keyboard use, *patient care providers may be required to perform activities specific to their role including kneeling, bending, squatting and performing CPR.