DUTIES: Supervises the work of on-site and off-site staff who review, interpret, code and abstract medical records information according to standard classification systems ICD-10 Performs the most advanced medical records coding and abstraction duties Performs data quality reviews and prepares complex reports as required; and performs other related duties as assigned Establishes, implements and maintains a formalized review process for coding compliance, including a formal review (audit) process; designs and uses audit tools to monitor the accuracy of clinical coding Creates and monitors outpatient service mix reports and the leading medical visit, surgical service, significant procedure, and ancillary Ambulatory Payment Classifications (APC's) assigned in the facility to identify patterns, trends, and variations in the explain variances Provides or arranges for training of facility healthcare professionals in the use of technical coding APC and other data quality management Maintains knowledge of current and required coding certification as appropriate; may perform the most technical complex and difficult coding and abstraction work Assists the Director by serving as a facility representative for DRG's and/or APC's by attending coding and reimbursement workshops and bringing back information as appropriate Communicates any DRG/APC updates published in third-party payer newsletter, bulletins and/or provider manuals; share information with facility staff as directed Stays informed about transaction codes sets, Health Insurance Portability and Accountability Act (HIPPA) requirements and other future issues impacting health information management functions Keep abreast of new technology in coding and abstracting software and automation. Monitors unbilled account reports for outstanding services or un-coded discharges to reduce accounts receivable days for inpatients and/or outpatients Performs periodic claim form reviews to check code transfer accuracy from the abstracting software and the charge master; may serve on a charge master maintenance committee In partnership with appropriate personnel, recommends and implements standardized, organized-wide coding guidelines and documentation requirements Develops and implements training and educational programs for physicians and coders Consults with other divisions and individuals regarding data quality management Performs other related duties as assigned (DUTIES AND RESPONSIBILITIES ARE NOT LIMITED TO THE ABOVE POSITION DESCRIPTION) QUALIFICATIONS: Required: RHIA or RHIT or CCS coding certification. 1-year in a supervisory/administrator capacity. Ability to make coding decision based on use of established coding guidelines. Selected candidate must have ability to work independently and be a self-starter. Preferred: BS Degree with related Health Information Management experience and 3 to 5 years direct coding experience in an acute care setting Additional Info: Hours of Work: 9:00am to 5:00PM Days of Week: Sunday thru ThursdayClosing Date: Open Until Filled STATE UNIVERSITY OF NEW YORK IS AN EQUAL OPPORTUNITY / AFFIRMATIVE ACTION EMPLOYER
Internal Number: 51919
About SUNY Downstate Medical Center
SUNY Downstate's College of Medicine, Health Related Professions, Nursing and its School of Graduate Studies offer students a broad professional education that will prepare them for practice or careers in any location and community. This education provides exceptional opportunities for those students with a commitment to promoting health in urban communities and addressing the complex challenges of investigating and preventing diseases that confront clinicians, educators, and researchers in such an environment. This special aspect of Downstate's unique mission is reflected in the students it attracts and selects, the vast majority of whom are drawn from the New York City Metropolitan area. Many of these students are members of minority and cultural groups underrepresented in the health professions, and/or come from families of first-generation immigrants or from economically disadvantaged backgrounds.