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St. Elizabeth Healthcare logo
St. Elizabeth Healthcare

Right Career. Right Here. If you have a passion for taking care of the community and are interested in Healthcare, you will take pride in the level of care we provide at St. Elizabeth. We take care of patients and each other. St. Elizabeth Physicians is an equal opportunity employer and will not discriminate on the basis of race, color, sex, religion, national origin, ancestry, disability, age, or any other characteristic that is protected by state or federal law.

Coding Documentation and Compliance Coordinator

Location

United States

Posted

48 days ago

Salary

0

Seniority

Mid Level

No structured requirement data.

Job Description

Coding Documentation and Compliance Coordinator

St. Elizabeth Healthcare

Role Description To coordinate and monitor adherence to HIM compliance program. - Educate HIM, CDI, physicians, ancillary departments, and other internal customers regarding appropriate documentation and accurate coding practices. - Perform internal coding audits for compliance and educational purposes. - Assist in DRG denials, medical necessity issues, and RAC and other government or commercial audits. Demonstrate respect, dignity, kindness, and empathy in each encounter with all patients, families, visitors, and other employees regardless of cultural background. Coordination of internal audit program including review of all cases referred for coding review by coder referral to the Coding Compliance Work Queue’s in Epic, by Quality Management Department, by Patient Safety & Accreditation, and other internal customers to ensure compliance with Official Coding Guidelines and SEH Internal Coding Policies. - Assist and conduct internal coding audits of all inpatient/outpatient coders for accuracy, and monitor coding audits for contracted entities. - For inpatients, monitor accuracy of POA assignment, ensuring proper coding of hospital-acquired conditions. - Coordinate findings and feedback with managers, team leads, and coders. - Responsible for maintaining and developing internal coding guidelines. - Develop and implement hospital-wide query policy and ensure compliance with education and regular audits of querying activity. - Stay informed of current changes and additions to coding policy, coordinating education with HIM, CDI, and physicians through meetings, written materials, storyboards, and other means as necessary. - Monitor and educate outpatient staff and ancillary departments on required documentation for medical necessity issues. - Facilitate education with consultants as necessary. - Assist with DRG denials in response to RAC and other government or commercial audits, coordinating with patient accounts and writing appeals. - May include preparation for administrative hearings with payers. - Assist HIM Compliance Manager with various projects as needed. - Perform other duties as assigned. Qualifications - Associate of Arts/Science Degree. - CCS, RHIT, or RHIA Credentials. Requirements - 5+ years hospital production coding experience. - 2+ years clinical documentation experience. Benefits - Competitive pay and comprehensive health coverage within the first 30 days. - Generous paid time off and flexible work schedules. - Retirement savings with employer match. - Tuition reimbursement and professional development opportunities. - Wellness, mental health, and recognition programs. - Career advancement through mentorship and internal mobility.

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Flywire logo

Compliance Manager

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Compliance49 days ago
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Achieve logo

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