Lead Coding Professional

Job Description

Fairview is looking for a Lead Coding Professional to join our team. This is a clinical coding position for an experienced coding lead performs complex coding and is a resource for complex coding questions.  Coding leads analyze clinical documentation; assign appropriate diagnosis, procedure, and, in some cases, level of service codes for complex cases; and abstract the codes and other clinical data. This information is then used to determine reimbursement levels, assess quality of care, study patterns of illness and injuries, compare healthcare data between facilities and between physicians, meet regulatory and payer reporting requirements.  Coding leads also resolve clinical documentation and charge capture discrepancies and provide feedback to providers on the quality of their documentation and charging.  The coding lead will provide and oversee the training of new and existing staff.  Coding leads are responsible for ensuring that the department’s coding tip sheets are maintained and kept up to date with coding changes based on ICD-10-CM, CPT and HCPCS Coding guidelines. 

Position Details

• 1.0 FTE (80 hours per pay period)
• day shift
• no weekends
• fully remote, salaried position

 Job Expectations: 

• Provide/oversee training for new or current staff as directed. 

• Educate and advise coding staff on the correct use of ICD-10-CM, CPT and HCPCS Coding guidelines 

• Provides day-to-day work queue work direction and staffing based on manager guidelines. 

• Monitor work queue for older charges or incorrect routing. Perform diagnostic and/or procedural coding at an advanced level to ensure proper reimbursement, accurate database information, and to maintain skills 

• Investigate and propose solutions to identified problems or variations in coding practice 

• Assist in developing tip sheets and presentation materials. Actively participate in creating, implementing, and presenting improvements to staff and management. 

• Conduct monthly/bi-weekly department meetings and assist in conducting daily huddles with staff in coordination with Supervisor and Manager 

• Act as liaison between departments to analyze and coordinate changes in workflow 

• Complete projects as assigned 

• Performs other responsibilities as needed/assigned  

• Setup and provide on-going remote or in-person learning to staff regarding coding practices 

• May maintain a higher-level profile in Epic and any respective work queue requirements 

• May be solely responsible for patient complaint and follow up work  

• Direct coding of charges (40% of the time) 

• Contact Move/Chart correction 

• Responsible for PB CloudMed Rollout 

• Trains new staff, tip sheet development/maintenance, and day to day wq direction. 

Qualifications to Fulfill Job Responsibilities: 

Required: 

Education 

• Coding certification or Associate degree in HIM    

Experience 

• 3 years of coding-related experience such as coding, abstracting, DRG assignment, data quality in coding function, as required by position 

Preferred: 

Education 

• Associate or degree in HIM 

Experience 

• 5 years of coding related experience such as coding, abstracting, APC assignment, Data Quality in coding function type as required by position.  

• Experience in a variety of specialty coding areas and/or hold multiple credentials. 

License/Certification/Registration 

• Registered Health Information Administrator (RHIA),  

• Registered Health Information Technician (RHIT)  

• Certified Coding Specialist (CCS) 

• Certified Coding Specialist-Professional (CCS-P) 

• Certified Professional Coder (CPC) 

• Certified Outpatient Coder (COC) 

• Other approved certified specialty credential 

Level to which this Job reports:   ​Supv​ 

Does this job have direct reports:  ​No​  

 Does this job have indirect reports: ​No​   

Fairview offers a generous benefit package including but not limited to medical, dental, vision plans, life insurance, short-term and long-term disability insurance, PTO and Sick and Safe Time, tuition reimbursement, retirement, early access to earned wages, and more! Please follow this link foradditional information: https://www.fairview.org/careers/benefits/noncontract

An individual's pay rate within the posted range may be determined by various factors, including skills, knowledge, relevant education, experience, and market conditions. Additionally, our organization prioritizes pay equity and considers internal team equity when making any offer. Hiring at the maximum of the range is not typical. If your role is eligible for a sign-on bonus, the bonus program that is approved and in place at the time of offer, is what will be honored.

Salary : $32 - $45