Quality and Assurance Coordinator

VISION, MISSION & VALUES:

Every employee of SIHF Healthcare is expected to uphold our vision, mission and values. Our actions will reflect our values of compassion, diversity, integrity, excellence and teamwork creating a culture in which all individuals are treated with dignity and respect. This will result in our vision of People achieving their highest quality of life through the fulfillment of our mission to Lead individuals and communities to their healthiest lifestyle by providing a coordinated network of health and supportive services.

CUSTOMER SERVICE COMPLIANCE STATEMENT:

Treat every person with dignity, respect and kindness by listening with your full attention, address questions/concerns immediately, and accepting responsibility to follow through by always doing what you say you will do. You support our customers, and your team, by being patient, understanding and positive, knowing that you are SIHF Healthcare to those we serve.

POSITION DESCRIPTION:

The Coding Quality Assurance Coordinator is responsible for accurate code assignment of all clinical outpatient records, surgical outpatient records for services provided by the employed and contracted Physicians. All coding is in accordance with official coding guidelines. All work is carried out in accordance with the SIHF Corporation and SIHF approved policies and procedures. Audits will be conducted on coding and documentations to ensure compliance with all official coding guidelines by this staff member. On-site location training will be conducted for new providers ensuring proper charge capture and coding is completed.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

1. Accurately and completely codes all outpatient clinical records and surgical outpatient records as assigned, in accordance with current coding and conventions based on documentation in medical records.

1. Accurately abstracts pertinent information from the medical records into the Athena EMR.

1. Participates in activities and strategies involving physicians, utilization review, business office and others as necessary.

1. Consistently meets or exceeds weekly productivity expectations set forth by the CBO Director.

1. Consistently meets or exceeds weekly coding accuracy rates as established by the CBO Director.

1. Consistently audits health records as required and reports findings to CBO Director and providers.

1. Answers phone and assists with requests for coding advise as needed by hospital staff and physician offices.

1. Assists in compiling reports as assigned and required.

1. Assists in training new providers joining the SIHF team in proper coding and documentation to ensure accurate billing and documentation for patient care.

1. Training and assisting CBO coding team with any help pertaining to coding and documentation.

1. Education conducted with ALL providers involved in the residency programs that SIHF supports to ensure providers are well-trained and prepared to have patient visits.

KNOWLEDGE, SKILLS, ABILITIES:

1. Ability to read and comprehend simple instructions, short correspondence, and memos. Ability to write simple correspondence. Ability to effectively present information in one-on-one and small group situations to customers, clients, and/or other employees of the organization.
2. Ability to apply common sense understanding to carry out instructions furnished in written, oral, or diagram form. Ability to effectively resolve problems involving several concrete variables in standardized situations.
3. Ability to use Microsoft Office applications such as Outlook, Microsoft Word, and Excel.
4. Knowledge of medical terminology and human anatomy and physiology.
5. Have a high energy level to perform multifaced projects in conjunction with day-to-day activities.

EDUCATION AND EXPERIENCE:

Eight to Ten (8-10) years of medical coding experience required. High school diploma or equivalent. Cardiology, Orthopedic, Primary Care, Pediatric, Pulmonology, OB/GYN coding experience required. A Medical Coding Certificate; or CPC by AAPC or AHIMA license is required.

PHYSICAL DEMANDS:

Light physical activity performing non-strenuous daily activities of an administrative nature.

WORK SCHEDULE:

Normal work hours for this position are Monday through Friday day shift. Remote work may be required.

COMPLIANCE STATEMENT:

Abide by the requirements of all applicable State and Federal laws.

MEDICAL HOME STATEMENT:

Be aware and understand the expectations and responsibilities of the Patient-Centered Medical Home. Understand the role, complete relevant duties, and the requirement to maintain the highest level of proficiency within scope, as part of this team-based approach in the patient care continuum.