Coding Liaison, Professional Billing Coding

Job Description Coding Liaison, Professional Billing Coding  (251859)
** Purpose of this position:
** Provides support, education, and feedback to the Physicians, Advanced Practice Providers, Residents, and Coding Staff on documentation guidelines and billing trends
** RESPONSIBILITIES:
*** Assists with New Provider Onboarding
* Presents education points and/or findings to Physicians, Advanced Practice Providers, Residents, and Coding Staff regarding coding and billing trends and related quality metrics
* Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings
* Organizes, analyzes, and presents data for the purpose of supporting Department Chiefs, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement
* Collaborates with other departments and key stakeholders to determine trends and educational needs
* Analyzes provider documentation and billing practices through financial and coding activity reports, as well as documentation reviews, to identify potential opportunities for revenue capture and recognize areas of compliance concern
* Performs a detailed annual review of CPT and ICD-10-CM which includes identifying codes that have been deleted, added, or replaced; identifies description changes and communicating these changes to clinical departments that will be impacted
* Supports clinical areas and departments in charge capture and coding accuracy to ensure organization-wide uniformity of charges and coding for similar products and procedures
* Identifies/investigates issues with medical necessity, coding, and billing that reduce reimbursement; recommends action steps and works collaboratively with the department to improve processes when operational weaknesses and/or compliance issues are found
* Conducts annual provider quality reviews to evaluate the appropriateness of services and procedures billed based on supporting documentation; evaluates appropriateness of diagnoses (ICD) and procedural (CPT) codes billed for services; evaluates adequacy of documentation to meet the Teaching Physician guidelines; evaluates level of service billed for evaluation and management (E/M) services, evaluates appropriateness of modifier usage
* Other duties as assigned
*
* SUMMARY:

** We are currently seeking a
** Coding Liaison
** to join our Professional Billing Coding team. This full-time role is designated for the day shift and is primarily remote (approximately 90%). However, occasional on-site presence may be required based on operational needs.
* Two (2) years post-secondary education in HIM field-OR
- * Three (3) years external coding/reimbursement experience-OR
- * An approved equivalent combination of education and experience
**
* Preferred Qualifications:

**** Bachelor’s Degree in health related field
*** Knowledge/ Skills/ Abilities:
**** Strong interpersonal and communication skills
* Comfortable discussing patient care/clinical presentation of the patient (as it relates to quality metrics and coding) with providers
* Able to present to both small and large (up to 100) groups
* Initiates judgment, makes decisions, and works autonomously
* Ability to work with a variety of stakeholders at various levels of authority within the organization
* Problem solving and conflict resolution
* Analytical and critical thinking skills
*** License/

Certifications:

**** RN* CCS-P, CPC, RHIT, RHIA
* CDIP, CCDS
*
* QUALIFICATIONS:

*
* **
* Minimum Qualifications:

*** You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing
** Equal Employment Opportunities
** to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.  
*
* Please Note:

** Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.
* We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.
* We provide an extensive benefits program that includes Medical;
Dental;
Vision;
Life, Short and Long-term Term Disability Insurance;
Retirement Funds;
Paid Time Off;
Tuition reimbursement; and license and Certification reimbursement *(Available
** ONLY
* * for benefit eligible positions)*.
* For a complete list of our benefits, please visit our career site on why you should work for us.## Primary

Location:

MN-Minneapolis-Downtown Campus Eligible for Benefits:
Yes
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