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Job Posting Title:
Coding Lead/ CDI Specialist
Location:
Dallas - Hospital
Additional Posting Details:
Monday - Friday
Full-time hours
Location: Hybrid/ Remote (must be local to the Dallas/Fort Worth area)
Job Description:
Duties/Responsibilities
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Supports priorities assigned by Manager and/or Assistant Manager; acts as a resource to staff.
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Identifies and escalates coding issues and in recommending coding workflow solutions to resolve issues and improve operations.
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Cultivates and maintains professional relationships within the department and organization.
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Identifies denial and claim edit patterns and escalates to management as appropriate with sufficient information for additional follow-up, and/or root cause resolution.
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Assists in developing clinical documentation policies, and processes as it relates to documentation of diagnoses and procedures for accurate assignment of DRG/APR-DRG, that have an impact on severity of illness (SOI) levels.
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Stays abreast of coding changes to proactively prevent errors/financial penalties from occurring and works closely with leadership in development of educational content material to ensure is consistency for providers and coding staff
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Promotes clarification of clinical documentation by use of query tools as needed, communicating with clinicians regarding missing, unclear, or conflicting medical record documentation
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Performs audits as needed for special projects and/or new organizational procedures and specialties, summarizes findings, reports to management, and assists in development of presentations to educate staff and clinicians
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Responsible for improving the overall integrity of medical record documentation in outpatient/inpatient setting through appropriate interaction and ongoing education with physicians, fellows, residents, allied health staff and working closely with Internal Coding Auditor and HIM coding staff
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Collaborates with appropriate Empower Analysts to assist with development of processes, functioning Workqueues (WQ), useful system workflows that ensure limited errors and help increase productivity of staff
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Performs all other duties as assigned
Required Skills/Abilities
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Associate’s or Bachelor’s degree in HIM or related field preferred
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Four (4) years of coding experience with ICD-10, CPT and Pro-Fee Coding in an acute care hospital and clinic setting
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Inpatient Coding preferred.
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Demonstrates ability to communicate effectively, displays interpersonal skills in working with others in a capacity with demonstrated leadership and strong management abilities
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Ability to converse, educate, present, and work effectively with all providers and clinical staff
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Knowledge of current coding practices and guidelines, rules, regulations, and coding ethics
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Completes required continuing education to maintain credentials and license
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RHIA, or RHIT, or CCS, or CCDS, required
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CDIS/CDIP preferred
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Work requires strong management and leadership skills
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Work requires strong analytical, critical thinking and organizational skills with a high level of accuracy and attention to detail skills
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Work requires excellent customer service, interpersonal, and communication skills (verbal and written)
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Work requires ability to report, and problem solve using discretion, judgment, and professionalism
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Work requires ability to handle multiple tasks, show initiative, and adjust to changes as appropriate under a stressful environment, while meeting tight deadlines and prioritizing given tasks