HCA, Hospital Corporation of America Coding Team Lead in Brentwood, Tennessee
Parallon believes that organizations that continuously learn and improve will thrive. That's why, after more than a decade, Parallon remains dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future.
As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized services in the areas of revenue cycle, purchasing, supply chain, technology, workforce management and consulting.
Parallon's purpose is simple. We serve and enable those who care for and improve human life in their communities.
The Coding Lead performs internal quality assessment reviews of Physician Service Center Center coding staff to ensure compliance with national, Parallon, and facility coding guidelines, for complete, accurate and consistent coding that result in appropriate reimbursement and data integrity. Works with the team to improve the accuracy, integrity and quality of patient data, to ensure minimal variation in coding practices and improve the quality of physician documentation within the body of the medical record to support code assignments. Provides coder specific education and global coding education based on review findings and trends.
DUTIES INCLUDE BUT ARE NOT LIMITED TO: Leads, coordinates and performs all functions of quality reviews (routine, policy driven and incentive plan driven) for outpatient coding across multiple facilities Assists Coding Manger in the review and improvement of processes and services Coordinates coder training and orientation in conjunction with Coding Manager and SSC Education staff Reports to the Coding Manager periodically on team and individual work accomplishments, problems, progress in mastering tasks and work processes, and individual and team training needs Coach, facilitate, solve work problems, and participate in the work of the team Assists the Coding Manager in capturing coding staff productivity Assists in ensuring coding staff adherence with coding guidelines and policy Assists in ensuring coding compliance and reports status to the Coding Managers and Coding Director Coordinates Case Mix Index and Benchmark analysis functions Prepares facility specific reporting requirements Assists in strategic planning and budgeting of the coding quality review function Occasionally provides back up for coders Coordinates activities related to development and education Promptly report issues or trends to the Coding Manager or Coding Director Assist in ensuring Coder compliance with HCA Regulatory Coding Compliance educational requirements and policies Meets all educational requirements as stated in current Company policy Reviews all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement"
Coding Technical skills- extensive regulatory coding (ICD-9-CM, CPT-4, MS-DRGs) and associated reimbursement knowledge Case Mix Index Analytical skills - ability to analyze trends in CMI and determine root cause and address as appropriate Effective Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values Initiative - independently takes prompt proactive steps toward problem resolution Organization - establishing courses of action to ensure that work is completed efficiently; proactively prioritizes assignments and keen ability to multi-task Communication - communicates clearly, proactively and concisely with all key stakeholders Leadership - leads individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations Policies & Procedures - articulates knowledge and understanding of organizational policies, procedures and systems PC skills - demonstrates proficiency in Microsoft Office applications and others as required Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time Work Independently - is self-supporting; not needing to rely on others to complete a job Building and Maintaining Strategic Working Relationships - develops collaborative relationships to facilitate the accomplishment of work goals. Possesses good interpersonal skills in building, negotiating, and maintaining crucial relationships Managing conflict - dealing effectively with others in an antagonistic situation; using appropriate interpersonal styles and methods to reduce tension or conflict between two or more people Mentor and Educate - provides timely guidance and feedback to help strengthen the knowledge/skill set of others to accomplish a task or solve a problem
Current CPC Management/Supervisory experience in healthcare related field preferred Minimum of 5 years physician / outpatient coding experience required
Minimum of 3 years coding auditing/monitoring experience strongly preferred
Title: Coding Team Lead
Location: Tennessee-Brentwood-Nashville Physician Service Ce
Requisition ID: 25537-124266