Job Requirements
Under direct supervision, the Inpatient Coding Team Lead, provides day to day supervision and instruction for the coders. The Inpatient Coding Team Lead oversees specific hospital inpatient accounts based on acuity for the purpose of appropriate reimbursement, research, statistics and compliance to federal and state regulations in accordance with established ICD-10-CM/PCS coding classification systems. The Inpatient Coding Team Lead assists in resolving interdepartmental coding inquiries and communicates with various departments within the hospitals regarding billing and registration issues.
Principal Responsibilities and Tasks
The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.
- Provides for day to day supervision and instruction for the coders which includes WQ monitoring, problem solving, monitoring productivity and scheduling. Manages time and attendance approvals.
- Assigns and monitor coders assigned work on a daily basis in order to facilitate the billing process within the established timeframes.
- Maintains appropriate coverage for associated workload.
- Monitors bill holds to maintain financial stability of organization.
- Monitors coding productivity and coding quality reports for assigned hospitals and holds associates accountable for their performance. Ensure coders achieve within established standards.
- Serves as a clinical coding subject matter expert and utilizes critical thinking to analyze and evaluate documentation issues with consultation from Clinical staff, Clinical Documentation Specialists, and Coding Quality as needed.
- Provides coding support as needed for ICD-10CM/PCS to inpatient accounts for the purpose of reimbursement, research and compliance with federal and state regulations.
- Assists to resolve interdepartmental coding inquiries and coding issues, including but not limited to the following departments; CDI, Auditing, Billing, Admitting, etc.
- Assists manager in hiring process, orientation and training new coders on site specific requirements.
- Provides input in performance evaluations and coordinates with manager when corrective actions are needed. Communicates job performance, attendance and quality issues to the Manger of Inpatient Coding.
- Provide an open and goal-oriented work environment with established clear and concise work procedures and productivity standards. Communicates any employee relation matters to manager as warranted.
- Assists with the composition of appropriate coding queries, works collaboratively with CDI, understand and appropriately applies or resolves Potentially Preventable Complications (PPC's)/Maryland Hospital Acquired Conditions (MHAC's), Mortality and Prevention Quality Indicators (PQI's).
- Reconciles internal and external audit recommendations. Corrects and reconciles HSCRC data errors.
- Reinforce internal and external guidelines.
- Responsible for maintaining coding manager and team lead 3M360 swim lanes.
- Responsible for monthly/quarterly completion of IT testing, or as needed by department.
- Maintains coding quality accuracy rate of 95%.
- Maintains productivity rate of 95%.
- Complies with AHIMA standards of ethical coding and coding compliance guidelines.
- Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as assigned. Attends seminars and in-services as required to remain current ongoing issues.
Work Experience
Education and Experience
- Associates degree or a total of 7 years' experience is required. Bachelor's degree is preferred.
- 5 years of experience with coding inpatient hospital medical records required.
- One of the following required: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Inpatient Coder (CIC). Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist-Physician (CCS-P), and Certified Professional Coder (CPC)
Benefits
Compensation:
$33.40-$50.13/hr