Coordinate workflow and set priorities in coding section. Serve as a coding resource to othercoders, physicians, and other providers. Evaluate documentation and identifyeducational needs of physicians and coding staff. Provide training to codingstaff members and assist with problem solving in coding area. Coordinatecommercial payer denial process and file appeals as appropriate.
Coordinateworkflow in the coding section to obtain low AR days (less than 5). Ensurecharts are processed in a timely manner, monitor backlogs, and set goals forstaff, monitors accuracy and quality of coding. Generate routine and customizedreports as needed/requested.
Auditproductivity outcomes weekly and provide detail reports to HIM Codingleadership.
Reviewclaim denials related to coding and file appeals as appropriate. Track denialsand report trends to HIM Coding leadership on a monthly basis.
Developand/or assist with education and compliance training for coders. Develop andevaluate policies and procedures to keep up to date with coding practices.Evaluate documentation and identify education needs of physicians and codingstaff. Remain abreast of changes in coding conventions and coding updates asprovided by professional organizations. Work with HIM Coding leadership toensure all coders and other related departments remain abreast of codingchanges.
Communicatewith physicians and clinicians concerning diagnoses and procedures to answercoding questions and obtain complete documentation of cases ensuring optimalcoding. Serve as a coding resource to other coders, physicians, and otherproviders.
Serveas the department 3M presentative. Participate in meetings relative to 3M andwork with IHT 3M Analysts to insure optimum utilization of the 3M 360 productacross the HIM Coding department.
Performother related duties as directed that correspond to the overall function ofthis position.
Certification as a Coding Specialist (CCS),Health Information Technician (RHIT) or Registered Health InformationAdministrator (RHIA) required.
Three years of current in-patient codingexperience.
Extensive knowledge of ICD-10-CM and CPT codingmethodologies.
Associate or Bachelor's degree in MedicalRecords Technology preferred. Lead coder experience preferred.
St. Anthony Hospital –
St. Anthony Hospital is a601-bed regional referral facility specializing in cardiology, oncology,surgery and behavioral medicine. The hospital, established in 1898, is locatedin Midtown Oklahoma City and serves the needs of Central Oklahoma, as well asmany counties throughout Oklahoma, through its large rural affiliate network ofhospitals. Four St. Anthony Healthplex campuses provide convenient emergencyand outpatient service access to the outlying communities of the metropolitanarea. St. Anthony added urgent care services in May 2015 at St. Anthony North.St. Anthony has received numerous awards including the Oklahoma Quality Awardfor Excellence, Certified Healthy Business, Premier QUEST® Award for High-valueHealthcare Citation of Merit, among others. Healthsights ranks St. Anthony atperformance levels for quality and patient satisfaction higher than localcompetitors and many national health care organizations.
You’ve known us as many names throughout St. Louis, and now, we’re bringing our hospitals, doctors, home care and other services together under one name – SSM Health. With seven hospitals, 350+ physicians, more than 40 physician locations and 12,000 employees, we are part of something bigger and better. We’re connected to a wealth of resources, expertise and advance technology to help you, your fa...mily and our community live long, healthy lives.
We’ve grown and changed a lot over our 143-year history. Our name may be changing but our mission remains the same