Coding Integrity Coordinator

🕒 June 12

🗽 New York – Remote

🗽 New York – Remote

💵 $62.4k - $80k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

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Rochester Regional Health

WebsiteLinkedInAll Job Openings

10,000+ employees

⚕️ Healthcare Insurance

📚 Education

🤝 Non-profit

Healthcare Insurance • Education • Non-profit

Rochester Regional Health is an integrated health services organization serving the people of Western New York. It operates multiple hospitals and healthcare facilities, providing a wide range of healthcare services, including emergency care, primary care, specialty clinics, and urgent care. The organization is committed to medical education and research, offering training programs, residencies, and clinical trials. Rochester Regional Health focuses on comprehensive care with emphasis on treating patients respectfully and meeting their diverse medical needs across all stages of life.

📋 Description

• Conducts on-going audits of inpatient and/or outpatient coded data. • Provides on-going coder training and education. • Serves as subject matter expert on documentation, coding and regulatory compliance. • Compiles information and/or prepares reports and analysis of data integrity findings with recommendations. • Performs subsequent audits to ensure complete and appropriate corrective follow-up. • Works collaboratively with HIM leaders (Coding Managers, CDI Manager and Coding Director) to develop education strategies to promote complete and accurate clinical documentation. • Reports negative trends with clinical documentation to HIM Coding leaders. • Performs the RAC and DRG Validation Reviews and Queries. • Educates on findings/trends. • May processes outpatient and inpatient denials and rejections. • Assists in the on-going development and maintenance of coding policies and practice standards. • Supports the education and compliance for post query, re-coding and re-billing process. • Acts as the HIM liaison with external coding auditors. • Perform other related responsibilities related to the work described here. • Perform other duties as assigned.

🎯 Requirements

• Associates or Bachelor's degree in HIM. • Five years of recent inpatient and/or outpatient coding experience in an acute care setting. • Extensive knowledge of coding principles and guidelines. • Extensive knowledge of reimbursement systems, as well as federal, state and payer-specific regulations and policies pertaining to documentation, coding and billing. • Knowledge of RAC process including targeted DRGs. • Experience as an educator/trainer strongly preferred. • Knowledge of EPIC preferred. • Analytical ability to gather and interpret data, to evaluate reports and track process and to determine methods for ensuring coding compliance. • Strong communication, organizational and time management skills. • Results oriented with demonstrated skills in problem identification and resolution. • Must be self-motivated and require minimal supervision with the ability to establish own priorities. • Must have the ability to interact professionally with providers, management, and staff. • Proficient in Microsoft Office applications and others as required. • Applicant must successfully pass a practical coding examination.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development opportunities