Lead Coding Specialist

Summary

Conducts regular monitoring to determine accuracy of medical record coding/abstracting and DRG assignment. Maintains records of audits and shares result with coders as a teaching mechanism. Monitors and adjusts workflow to achieve optimum turnaround time for coding activities. Functions as coding resource person both within and outside the Health Information Management Department. Provides coding information/advice upon request. Codes diagnoses and procedures for all medical records according to ICD-9-CM and CPT-4 guidelines and hospital modifications. Follows procedures mandated by government and other payers for completion of coded data. Verifies/abstracts demographic, medical, and statistical information into computer from patient records. Orients/trains new employees in coding/abstracting procedures. Monitors performance and provides supervisory feedback to the respective Director of Coding. Assists with general department orientation. Reviews all PRO and other agency coding referrals and suggestions appropriate responses. Consults with physicians and /or Clinical Documentation Improvement Specialists on questionable cases. Utilizes Epic's electronic health record and 3M's Coding and Reimbursement system encoder.

Educational Requirements

Degree/Diploma Obtained

Program of Study

Required/

Preferred

and/or

Associate'sApplied ScienceorBachelor'sScience

Experience Requirements

Minimum Years Required

Area of Experience

Required/

Preferred

and/or

5 YearsInpatient Acute Care CodingRequiredandSupervisor/ManagementPreferred

State of Florida Licensure Requirements

Licenses

Required/

Preferred

and/or

Not Required

Certifications/Registration Requirements

Certificates/Registrations

Required/

Preferred

and/or

CCS (Certified Coding Specialist)RequiredorRHIT (Registered Health Information Technician)RequiredorRHIA (Registered Health Information Administrator)Required