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Coding Liaison, Professional Billing Coding
- Minnesota Visiting Nurse Agency (Minneapolis, MN)
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*_SUMMARY:_*
We are currently seeking a*Coding Liaison*to join our Professional Billing Codingteam. This full-time role is designated for the day shift and is primarily remote (approximately 90%). However, occasional on-site presence may be required based on operational needs.
*Purpose of this position:*Provides support, education, and feedback to the Physicians, Advanced Practice Providers, Residents, and Coding Staff on documentation guidelines and billing trends//
*_RESPONSIBILITIES:_*
* Assists with New Provider Onboarding
* Presents education points and/or findings to Physicians, Advanced Practice Providers, Residents, and Coding Staff regarding coding and billing trends and related quality metrics
* Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings
* Organizes, analyzes, and presents data for the purpose of supporting Department Chiefs, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement
* Collaborates with other departments and key stakeholders to determine trends and educational needs
* Analyzes provider documentation and billing practices through financial and coding activity reports, as well as documentation reviews, to identify potential opportunities for revenue capture and recognize areas of compliance concern
* Performs a detailed annual review of CPT and ICD-10-CM which includes identifying codes that have been deleted, added, or replaced; identifies description changes and communicating these changes to clinical departments that will be impacted
* Supports clinical areas and departments in charge capture and coding accuracy to ensure organization-wide uniformity of charges and coding for similar products and procedures
* Identifies/investigates issues with medical necessity, coding, and billing that reduce reimbursement; recommends action steps and works collaboratively with the department to improve processes when operational weaknesses and/or compliance issues are found
* Conducts annual provider quality reviews to evaluate the appropriateness of services and procedures billed based on supporting documentation; evaluates appropriateness of diagnoses (ICD) and procedural (CPT) codes billed for services; evaluates adequacy of documentation to meet the Teaching Physician guidelines; evaluates level of service billed for evaluation and management (E/M) services, evaluates appropriateness of modifier usage
* Other duties as assigned
*_QUALIFICATIONS:_*
/*Minimum Qualifications:*/
* Two (2) years post-secondary education in HIM field
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* Three (3) years external coding/reimbursement experience
-OR-
* An approved equivalent combination of education and experience
/*Preferred Qualifications:*/
* Bachelor’s Degree in health related field
/*Knowledge/ Skills/ Abilities:*/
* Strong interpersonal and communication skills
* Comfortable discussing patient care/clinical presentation of the patient (as it relates to quality metrics and coding) with providers
* Able to present to both small and large (up to 100) groups
* Initiates judgment, makes decisions, and works autonomously
* Ability to work with a variety of stakeholders at various levels of authority within the organization
* Problem solving and conflict resolution
* Analytical and critical thinking skills
/*License/Certifications:*/
* RN
* CCS-P, CPC, RHIT, RHIA
* CDIP, CCDS
**Title:** *Coding Liaison, Professional Billing Coding*
**Location:** *MN-Minneapolis-Downtown Campus*
**Requisition ID:** *251859*
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Coding Liaison, Professional Billing Coding
- Minnesota Visiting Nurse Agency (Minneapolis, MN)