What are the responsibilities and job description for the PRN Clinical Coding Reimbursement Compliance Manager position at Harris Health?
About Us
Harris Health System is the public healthcare safety-net provider established in 1966 to serve the residents of Harris County, Texas. As an essential healthcare system, Harris Health champions better health for the entire community, with a focus on low-income uninsured and underinsured patients, through acute and primary care, wellness, disease management and population health services. Ben Taub Hospital (Level 1 Trauma Center) and Lyndon B. Johnson Hospital (Level 3 Trauma Center) anchor Harris Health's robust network of 39 clinics, health centers, specialty locations and virtual (telemedicine) technology. Harris Health is among an elite list of health systems in the U.S. achieving Magnet® nursing excellence designation for its hospitals, the prestigious National Committee for Quality Assurance designation for its patient-centered clinics and health centers and its strong partnership with nationally recognized physician faculty, residents and researchers from Baylor College of Medicine; McGovern Medical School at The University of Texas Health Science Center at Houston (UTHealth); The University of Texas MD Anderson Cancer Center; and the Tilman J. Fertitta Family College of Medicine at the University of Houston.
Job Summary
Working with the Vice President/Deputy Compliance Officer and Director Compliance and Audit for Corporate Compliance, this position is responsible for developing, implementing and maintaining a data quality compliance plan for hospital inpatient/outpatient coding and reimbursement. The person in this position is responsible for development of standards, policies, and procedures as well as education and training programs regarding elements of the HIM coding compliance. This includes documentation and accurate coding to all appropriate personnel, including HIM coding staff, physicians, billing personnel and ancillary departments. This person will also coordinate and conduct review of targeted areas to assume timely billing process, correct hospital reimbursements and perform random audits to validate accuracy of DRG, APC, and other coding to ensure compliance with coding and billing requirements.
Minimum Qualifications
Degrees / Work Experience / School Education:
Bachelor's Degree (And) Five (5) Years Work Experience coding management experience in a large acute care hospital setting.
(Or)
High School Diploma or GED (And) Nine (9) years work experience coding management experience in a large acute care hospital setting.
Licenses & Certifications
Certified Coding Specialist (or) CCS-P from AHIMA
Certified Inpatient Coder (CIC)
Management Experience: Five (5) years management experience
Communication Skills: Exceptional Verbal (e.g., Public Speaking)
Proficiencies: MS Access, MS Excel, MS Word, P.C.
Job Attributes
Work Schedule: Eligible for Telecommute
Other Requirements
Must have a strong background in ICD-10-CM Classification systems, knowledge of anatomy and physiology, clinical medical and medical terminology, along with excellent working and current knowledge of federal and the All-Payer DRG reimbursement methodology for hospital (facility) billing.