• Review medical records and assign accurate codes for diagnoses and procedures. • Assign and sequence codes accurately based on medical record documentation. • Assign the appropriate discharge disposition. • Abstract and enter the coded data for hospital statistical and reporting requirements. • Communicate documentation improvement opportunities and coding issues to appropriate personnel for follow up and resolution. • Maintain a 95% coding accuracy rate and a 95% accuracy rate for APC assignment and meet site-designated productivity standards. • Be responsible for tracking continuing education credits to maintain professional credentials. • Attend Datavant Health sponsored education meetings/in-services. • Demonstrate initiative and judgment in the performance of job responsibilities. • Communicate with co-workers, management, and hospital staff regarding clinical and reimbursement issues. • Function in a professional, efficient, and positive manner. • Adhere to the American Health Information Management Association’s code of ethics. • Be customer-service focused and exhibit professionalism, flexibility, dependability, and a desire to learn. • Handle a high complexity of work function and decision-making. • Possess strong organizational and teamwork skills. • Comply with all HIM Division Policies.

Where You’ll Work We believe in the healing power of humanity and serving the common good through our dedicated work and shared mission to celebrate humankindness. Mercy Hospital is an 82 bed, acute care hospital located in the scenic southwestern Colorado town of Durango. It is the only hospital in Colorado to be rated by Medicare with five stars for overall hospital quality. It is recognized for excellence in orthopedic and spine surgery and for outstanding patient experience and patient safety. Mercy has also received ten consecutive ‘A’ grades for patient safety from The Leapfrog Group. Our providers use state-of-the-art technology in an environment designed to promote wellbeing and healing of body, mind, and spirit. Among the many specialty services available at Mercy are emergency care (Level III trauma designation), surgical care, cardiac care (including interventional), Orthopedic and Spine Centers of Excellence, a Family Birthing Center, home care, hospice care more. Durango offers an exceptional quality of life with small town charm, excellent schools, and year-round, world-class outdoor recreation opportunities including snow sports, river sports, hiking, biking, camping and more. Job Summary and Responsibilities You have a purpose, unique talents and now is the time to embrace it, live it and put it to work. We value incredible people with incredible skills – but your commitment to a greater cause is something we value even more. This is the heartbeat of our organization and your time will be spent in a supportive, team environment with resources to help you flourish and leaders who care about your success. The purpose of the Medical Staff Coordinator Senior position is to ensure quality patient care by effectively managing the Medical Staff's Governance and Credentialing and Privileging functions. This position manages multiple Medical Staffs which requires adapting to diverse organizational structures and cultures, compliance with various systems/policies and physically being present at different locations when necessary. This position functions with a great deal of autonomy in decision- aking/problemsolving. Their work products are essential components of Medical Executive Committees' and Governing Boards' functions. A summary of this position's responsibilities include: - Effective communications and full integration of services between the Medical Staff Services Departments and other site-specific departments at multiple facilities. - Prioritizes multiple department tasks and projects to ensure they are completed in the required timeframes. - Coordinates medical staff governance activities for multiple sites (credentials committee meetings, MEC, Peer Review, department meetings, identification verification, ED access/call schedules, reconciliation of payments with contract requirements, dues collection, etc.) hospital policies, Medical Staff bylaws, and regulatory/risk management standards. - Performs all aspects of the credentialing/privileging program for high-volume of applicants, to include primary source verification, competency analysis, database management, - Serves as the primary resource at multiple sites for providers' required education and on-boarding. - Serves as the primary resource to contracted surgery centers for credentialing software training and data-base integrity. - Serves as a physician advocate and Medical Staff representative in multiple sites' specific activities, to include Safety Huddles. - Communicates with physician applicants and appointees, Medical Staff leaders, Executive Staff, Legal and Regulatory Staffs, and numerous external entities regarding demographic and competency information about practitioners. - Interprets and implements standards, policies and procedures to ensure compliance with regulatory and risk management requirements. - Utilize critical thinking skills to analyze and resolve complex issues and serve as a resource for other coordinators for training and problem-solving. Job Requirements In addition to bringing humankindness to the workplace each day, qualified candidates will need the following: - Strong knowledge of clinical/medical terminology. - Proven abilities in arbitrating and negotiating issues between physicians and Medical Staff leaders/hospital departments. - Effective organizational skills required to handle voluminous influx of credentialing applications and to prioritize tasks in order to meet cyclical deadlines. Successful experience with previous accreditation surveys preferred. - Demonstrated working knowledge of The Joint Commission, CMS, and Department of Health standards. - Demonstrated computer and database management skills, with previous experience utilizing credentialing software. - Adeptness at developing multiple productive relationships and balancing requests/needs of multiple facilities. - Proven leadership skills: ability to develop and sustain trusting work relationships, ability to educate and motivate team members, ability to communicate effectively with various levels of professionals, ability to self-regulate and meet deadlines, ability to use critical thinking and strategic approaches in problem solving, etc. - Validated ability to deal with multiple tasks and interruptions, and meeting deadlines, with minimal supervision. - Three years credentialing/medical staff /payor enrollment related experience or degree in Medical Staff Services Management in lieu of experience. - Associate degree preferred. - CPMSM or CPCS certification, preferred. - High School Diploma/G.E.D. Required Physical Requirements - Sedentary work - prolonged periods of sitting and exert up to 10 lbs. force occasionally

• Responsible for critical access hospital coding including emergency department, infusions, Critical Access Hospital Specialty Clinic, professional fees, and Rural Health Clinic • Ensure the timely and accurate coding of medical claims while maximizing reimbursement for services • Receive and review charge entry data from practice sites • Identify and investigate incomplete or missing charges • Abstract clinical information; translates medical documentation into diagnoses and procedural codes while utilizing currently accepted coding and classification systems • Sequence codes according to established guidelines • Thorough analysis and interpretation of medical information, medical diagnoses, coding/classification systems, to ensure accuracy for prospective payment system reimbursement • Maintain current knowledge of coding rules and regulations as designated by the AMA, Centers of Medicare and Medicaid Services (CMS) and other payers • Maintain proficient knowledge of EHR, as well as any other systems to perform job duties • Communicate issues to management, including payer, system, or escalated account issues • Identify medical necessity denial trends and provide suggestions for resolution • May perform other billing functions including claim submission, unpaid claims follow-up, denial resolution • Participation in department meetings, in-service programs, and continuing education programs • Convey professional attitude with patients, visitors, physicians, office staff and hospital personnel • Assure confidentiality of patient information, maintaining compliance with policies and procedures • Perform other duties as assigned

• Review medical records to identify pertinent HCC codes • Abstract appropriate information based on client guidelines • Utilize Aquity applications to enter charts coded in real-time • Maintain coding credentials up to date and active • Participate in team meetings and training