Job Description

The Professional Coding and Billing Coordinator is responsible for ensuring the accuracy and timeliness of professional coding from patient charts to support an accurate claim to payors. Areas of responsibility for these services are all activity within the CMG group, including, but not limited to inpatient, outpatient, CRNAs, and emergency room billings. The leader assists in providing coding and billing information to internal and external customers.

Contributes to organization success targets for patient satisfaction. Contributes to the organization success targets for net operating margin. Monitors work queues and productivity reports. Monitors areas and opportunities that could hold up coding/billing and clinical decisions. Works effectively and respectfully with physicians, coders and other partners to accomplish tasks. Effectively manages the staff in area of responsibility through communication, coaching, appraising, motivating, and staff development. Demonstrates excellent customer service Assure all communications. via telephone, email, or in person are timely, tactful, effective, positive, and professional. When needed, educate customers in what assistance we may provide. Demonstrates effective communication methods and skills, both verbally and in writing. Assures adequate turnaround time for areas of responsibility including but not limited to, professional coding & charge entry. Responsible for ensuring the integrity of coding abiding by correct coding guidelines. Assures compliance with HFAP/ACHC and other regulatory agencies. Maintains current knowledge of the industry and area of responsibility. Responsible for acquiring continuing education credits in pertinent areas and maintaining credentials as a CPC. Assists with payroll, staff evaluations, hiring, and discipline.

Performs other duties as assigned. Maintains activity in appropriate professional associations. Assures that HIPAA privacy and security rules mandated by state and federal rules and Hospital and departmental policies are followed to protect patient information.

EDUCATION/EXPERIENCE

Required - RHIA, RHIT, CPC, CPMA credentials. Preferred - One year or more of leadership experience and 3-5 years of professional coding experience.

Basic Computer skills. Knowledge of standard office equipment (fax, copier, etc.) Demonstrates effective communication methods and skills, both verbally and in writing. Uses appropriate organization/priority setting skills to complete work timely and accurately. Practices effective problem identification and resolution skills as a method of sound decision making. Show flexibility and willingness to adapt to change. Ability to reprioritize work as needed. Demonstrates knowledge of leadership development. Must demonstrate confidentiality and trustworthiness, etc. Must have literacy in Windows, Word Processing (Word), Excel, and Power Point programs. Projects a positive, enthusiastic, energetic, and professional appearance.

KNOWLEDGE/SKILLS/ABILITIES Demonstrates effective communication methods and skills, both verbally and in writing. Uses appropriate organization/priority setting skills to complete work timely and accurately. Practices effective problem identification and resolution skills as a method of sound decision making. Show flexibility and willingness to adapt to change. Ability to reprioritize work as needed. Demonstrates knowledge of leadership development. Must demonstrate confidentiality and trustworthiness, etc. Must have literacy in Windows, Word Processing (Word), Excel, and Power Point programs. Projects a positive, enthusiastic, energetic, and professional appearance.

WORKING CONDITIONS/PHYSICAL DEMANDS Ability to maintain punctual attendance consistent with the ADA, FMLA, and other federal, state, and local standards.

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