Nuvance Health has a network of convenient hospital and outpatient locations — Danbury Hospital, New Milford Hospital, Norwalk Hospital and Sharon Hospital in Connecticut, and Northern Dutchess Hospital, Putnam Hospital Center and Vassar Brothers Medical Center in New York — plus multiple primary and specialty care physician practices locations.
Summary:
Supervises day to day operations of Outpatient / Professional coding. Coordinates Outpatient coding related aspects of the Network coding compliance plan, including quality monitoring and staff education. Accountable for quality, timelines, completeness and accuracy of outpatient / professional coding, abstracting and data entry for optimal reimbursement and quality reporting. Proactively identifies and resolves barriers preventing revenue from crossing to financial system.
Responsibilities:
Supervises workflow to ensure timely bill submission, as well as, individual coder work assignment in various record categories to balance productivity with coder skill development and individual competence. Monitors coders productivity based on set standards.
Performs ongoing compliance audits on APC assignment, quality and completeness, analyzes findings and submits written reports to manager/director. Reviews and analyzes any out patient denials followed by appropriate and timely discussions.
Stays current with ICD 10 regulatory and code changes, coding skills. Assist Coding training and Coding director in ICD 10 training of coders and providers as needed.
Maintains a working knowledge of ICD-9-CM, CPT-4 coding principles, government regulations, Seimen's Invision, software, third party billing protocol requirements, as well as, trends in the prospective payment system. Performs actual coding and abstracting duties as necessary to maintain workflow.
Instrumental in strengthening coders knowledge of anatomy and physiology, ICD 10 coding guidelines. Coding principals and methodology.
Assures that all coding is based on actual physician documentation. Works with Physician liaison and clinical staff to obtain complete documentation, helps to identify areas of documentation that need improvement.
Fulfills all compliance responsibilities related to the position.
Performs other duties as assigned.
Requirements:
Minimum Experience: five years
Desired: Bachelors Degree preferred.
Required: Skills to code CPT including Evaluation and management coding, ICD 9/ICD 10 diagnosis coding, knowledge of Anatomy and physiology.
Strong analytical skills with attention to detail and a high degree of accuracy.
Ability to take initiative by identifying problems, conceptualizing resolution to the problems, and implementing change.
Strong comfort level with computer systems.
Strong verbal and writing communication skills.
Awareness of ICD 9 procedure coding.
Location: REMOTE-NY-KRN
Work Type: Full-Time
Standard Hours: 40.00
FTE: 1.000000
Work Schedule: Day 8
Work Shift: Monday thru Friday
Org Unit: 1853
Department: CODERS - PROFESSIONAL & FACILITY CHARGING and CODING
Exempt: Yes
Grade: S10
Salary Range: $31.2500 - $58.0500 Hourly
EOE, including disability/vets.
We will endeavor to make a reasonable accommodation to the known physical or mental limitations of a qualified applicant with a disability unless the accommodation would impose an undue hardship on the operation of our business. If you believe you require such assistance to complete this form or to participate in an interview, please contact Human Resources at (for reasonable accommodation requests only). Please provide all information requested to assure that you are considered for current or future opportunities.
