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Employment Type:

Full time

Shift:

Day Shift

Description:

REQUIRES CERTIFIED CODING SPECIALIST (CCS) CERTIFICATION

Position Purpose

The Coding Compliance Specialist is primarily responsible the development, implementation and maintenance of an effective compliance program related to the documentation and coding of medical records within the scope of the Health Information Management Department. The Coding Compliance Specialist will be expected to assist in the development of coding policies and procedures, perform coder audits and to support and provide education for coding and Clinical Documentation Improvement specialist to build an effective compliance structure that will provide guidelines to detect, correct, and prevent coding errors.

What you will do

+ Annual review and revision of the HIM Coding Compliance Plan

+ Assist in the development/updates of departmental coding policies and procedures to support the Official Coding Guidelines, Hospital Specific Guidelines, and the Coding Compliance Program

+ Review and report on regulatory updates including but not limited to, CMS transmittals, local coverage determinations, proposed/final rules and OIG reports/documents in a timely manner

+ Develop and present annual Coding Compliance Education for all coding staff for both IPPS and OPPS

+ Support the System Office in assignments for the online coding educational programs

+ Provide daily pre-bill SMART monitoring for inpatient encounters, and submit monthly reports to Regional Director of HIM Services and Director HIM Revenue Cycle

+ Coordinate and conduct inpatient and outpatient chart reviews

Minimum Qualifications

+ Bachelor or Associate’s degree in Health Information Management or equivalent in experience required.

+ Five years of experience in hospital/facility outpatient and/or inpatient coding required

+ Previous auditing of ICD coding, and coding compliance experience preferred.

+ **CCS required**

+ CPC or RN in addition to required certification preferred.

+ Medical terminology, anatomy and physiology, pathophysiology, ICD-10 and CPT coding classification systems, regulatory agency requirements and computer literacy required

+ Systems include: Epic, 3M 360 CAC, TRACker, Veracity, email and other systems as applicable

Position Highlights and Benefits

+ Full time 40hrs M-F days

+ Excellent benefits - starting day 1!

Ministry/Facility Information

Saint Francis Hospital is committed to exceeding the expectations of our patients and families by providing world-class service in a progressive, people-centered, compassionate health care environment. We are licensed for 617 beds and 65 bassinets, are a major teaching hospital and the largest Catholic hospital in New England.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.

Our Commitment to Diversity and Inclusion

Trinity Health is a family of 115,000 colleagues and nearly 26,000 physicians and clinicians across 25 states. Because we serve diverse populations, our colleagues are trained to recognize the cultural beliefs, values, traditions, language preferences, and health practices of the communities that we serve and to apply that knowledge to produce positive health outcomes. We also recognize that each of us has a different way of thinking and perceiving our world and that these differences often lead to innovative solutions.

Our dedication to diversity includes a unified workforce (through training and education, recruitment, retention, and development), commitment and accountability, communication, community partnerships, and supplier diversity.

EOE including disability/veteran