Job Description
Job Description
Description :
Christ Health Center is seeking a Quality Coding Lead to support our Revenue Cycle team in ensuring accurate, compliant, and high-quality coding and documentation practices. In accordance with national and FQHC coding guidelines, the Quality Coding Lead assists the Revenue Cycle Manager with oversight of daily quality and coding operations. This includes monitoring payor related quality scores and incentives, implementing documentation, coding, and billing changes to improve practice performance, auditing documentation and claims, and completing coding / billing tasks for commercial and Medicare Advantage payors. This position will support direct-care staff, medical coders / billers, and the quality team to ensure compliant interpretation and use of medical codes.
Supervisory Responsibilities
Requirements :
Major Duties & Responsibilities : Job Skills
Assists with day-to-day coding and billing tasks, reviewing supporting documentation and charge entry, providing feedback on the Health Center’s performanceMonitors coding / billing work queues, maintains daily productivity, and addresses areas of greatest need related to coding complianceMeasures coding success with regular auditing and reportingMonitors payer scorecards and incentive reimbursement status’Serves as an intermediary between the practice and insurers to address quality incentive needsEvaluates charge capture and coding workflows for maximum efficiencies, making recommendations as necessaryMaintains a knowledge of coding changes and requirementsResponsible for answering coding related questions from clinical staffReviews and reconciles missed charge reportsCreates and distributes coding tip sheets to appropriate parties as neededAssists with education in-services for physicians, other providers, and clinical staff relating to documentation, coding, and charging guidelinesPerforms other duties as assignedRequired Skills / abilities
Excellent verbal, organizational and written communications skills.Requires analytical skills, attention to detail, effective organization skills, ability to work in a fast-paced environment and ability to self-direct with minimal supervision.Requires the ability to work in a multi-cultural setting (Bi-Lingual in Spanish is preferred)Proficient in Microsoft Office (Word, Excel, Outlook)Qualification, Education, Experience
Associates degree or higherMinimum of 2 years Coding experience preferably in a physician officeCertification as Certified Professional Coder (CPC), Certified Outpatient Coder (COC), Certified Coding Specialist (CCS), or Certified Coding Specialist Physician-Based (CCS-P) or a Certified Coding Associate (CCA) requiredExperience with Medicaid, Medicare and commercial claims fillingPayor quality experience preferredFQHC Experience preferredAthena experience preferred