Serves as a liaison with the Patient Financial Services departments regarding coding/charging and unbilled issues and manages completion of daily Accounts Receivable greater than 4 days post discharge\visit.
Orients and trains new members to the Coding and Revenue Integrity Unit. Verifies competence level per established competencies of coding staff.
Provides oversight of the training and continuing education for the Coding and Revenue Integrity Unit to ensure competencies in accuracy and productivity
Participates in the Revenue Cycle Workgroup; a multidisciplinary team that meets to resolve Revenue Cycle issues.
Works with Information Services to review, develop, and/or test current and new products to ensure they meet the needs of the organization.
Assists in the development of processes and procedures to facilitate optimal operations within the Coding and Revenue Integrity Unit.
Assists the Dir, Coding & Documentation Integrity by making suggestions for improvement of the unit and overall HIM systems.
Coordinates internal and external coding audits.
Demonstrates the ability to handle conflict resolutions.
Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development
People Management Responsibility
Performs people management responsibilities for employees which may include but are not limited to: employee engagement, recruitment, performance management and development
Education
High School graduate or Certificate of General Educational Development (GED) or High School Equivalency Diploma (HSED) required
Bachelor's Degree in Health Information Administration preferred or
Associate's Degree in Health Information Technology preferred
Experience
2+ years of related experience in a lead role in a highly progressive acute care setting as well as having experience with training, quality improvement, compliance and record keeping. required
Knowledge, Skills and Abilities
Requires advanced verbal and written communication skills to facilitate communication with physicians, clinicians, department personnel as well as outside vendors.
Requires an ability to lead a team of technical staff, creatively solve problems, write reports and deal with tight deadlines.
Proficient in ICD-10 CM and CPT coding (CCS preferred)
Licenses and Certifications
+ one of the following: - N/A
RHIA-Registered Health Information Administrator - American Health Information Management Association
RHIT-Registered Health Information Technician - American Health Information Management Association
AHIMA-American Health Information Management Association - American Health Information Management Association
CCS-Certified Coding Specialist - American Health Information Management Association
Children's Wisconsin is an equal opportunity / affirmative action employer. We are committed to creating a diverse and inclusive environment for all employees. We treat everyone with dignity, respect, and fairness. We do not discriminate against any person on the basis of race, color, religion, sex, gender, gender identity and/or expression, sexual orientation, national origin, age, disability, veteran status, or any other status or condition protected by the law.
Certifications/Licenses
+ one of the following: - N/A, AHIMA-American Health Information Management Association - American Health Information Management Association, CCS-Certified Coding Specialist - American Health Information Management Association, RHIA-Registered Health Information Administrator - American Health Information Management Association, RHIT-Registered Health Information Technician - American Health Information Management Association