Coding Lead

Position: — Coding Lead
# Coding Lead

Requisition :
186388

Department:
100738 Facility Coding

Shift:
Varies Category:
Clerical & Administrative Support Salary:
32.76 - 45.87### Paid Time Off### 401(k) Company Match### Flexible Work Environment Renown Health is northern Nevada's healthcare leader and Reno's only locally owned, not-for-profit health system. We are an entire network of hospitals, primary care offices, urgent care centers, lab services, medical specialties, and x-ray and imaging services - with more than 7,000 nurses, doctors and care providers dedicated to the health and well-being of our community.
** For Providers:
** Renown Health and the University of Nevada, Reno School of Medicine (UNR Med) are affiliate partners in Nevada's first integrated academic health system. The affiliation aims to improve the health of the community, region, and state through research, medical education, and expanded clinical care. Renown physicians participate as joint faculty at UNR Med for teaching, lectures, supervising clinical rotations, and other academic activities for the education of medical and physician assistant students, residents and fellows.

Schedule:

Full Time - Eligible for Benefits This position is open to remote candidates who reside in one of the following states only:
** Texas, Arizona, Utah, Florida, Idaho, Oregon, Washington, or California.
** Due to business operations, tax registration, and employment compliance requirements, we are only able to hire individuals who currently live and work in these states. Applicants must maintain residency in one of the approved states as a condition of employment.

Position Purpose The Coding Lead position is accountable for responding to escalations from internal coding staff as well as external departments and costumers to ensure compliance and revenue related to reimbursement is coded and billed within appropriate timelines. This position is responsible for maintaining departmental standard work and keeping abreast of continual changes in coding and billing guidelines and compliance related to reimbursement within federal and State regulations.

This incumbent is to have expert knowledge of accurately assigning ICD-10-CM diagnostic and procedure codes for all aspects of professional services coding or facility coding.

Nature and Scope Incumbent will also perform highly complex and specialized coding, including review analysis. The major challenge of this position is ensuring the accountable coding for each patient type is completed within designated timelines. This position is challenged to keep workflows running smoothly for the department, including charge related items in work queues to ensure correct and timely billing. This position is accountable to bring issues and the need for revised/additional policies and procedures to management’s attention.

Incumbent will serve as a resource to all coders, revenue cycle staff, providers, and clinical staff on coding questions, documentation requirements, and coding guidelines. This candidate must be able to identify and resolve problems, set goals and priorities, and represent the department in a professional manner as well as in the absence of Leadership, as assigned.

Specific job responsibilities by section include:

HIM Coding Lead **(Facility)**:

This list is to include but is not limited to coding and resolving escalations regarding;
Acute Inpatient/Outpatient, Level II Trauma, Inpatient Rehab Facility, Home Health, Hospice and Hospital Outpatient Departments. Feedback and correction of ICD-10-CM/PCS and CPT code assignments, corrections and advice must be consistent with CMS Official Guidelines, regulatory agencies and hospital specific bylaws and guidelines.

Other responsibilities include:
• Work in collaboration with other Coding Lead staff members and colleagues to facilitate timely completion of critical medical record reviews for coding accuracy as directed or otherwise needed by CDI department, Quality and Compliance department, Business office, Data Integrity department, and other departmental business partners as needed.
• Identify Patient Safety Indicators and Hospital Acquired Conditions as being correctly coded…