Capefearvalley
Senior Clinical Coding Specialist-DNFB Analyst, Full Time Days
Capefearvalley, Fayetteville, North Carolina, United States, 28305
Senior Clinical Coding Specialist-DNFB Analyst, Full Time Days page is loaded## Senior Clinical Coding Specialist-DNFB Analyst, Full Time Dayslocations:
CFVtime type:
Full timeposted on:
Posted Todayjob requisition id:
37148**Facility**Cape Fear Valley Medical Center**Location**Fayetteville, North Carolina**Department**Health Information Management**Job Family****Work Shift**Days (United States of America)**Summary**Under the general direction of the Coding Director, effectively ensures ongoing unbilled DNB metrics are at or below administrative goals in an efficient, effective, and professional manner. This role daily monitors unbilled account WQs that are coded but waiting for information, facilitates processes and communications needed to resolve outstanding deficiencies that prevent claims from billing cleanly and assists in the identification and resolution of process issues, educational opportunities and system performance issues that have a negative impact on successful DNB metrics. The analyst collaborates closely with the HIM Coding Managers on special projects for account clean up, workflow monitoring, and process improvement opportunities. As part of the unbilled monitoring the analyst will also complete coding on outstanding accounts that are pending completion following receipt of missing information to facilitate timeliness of account billing. The DNB analyst will be responsible for reporting, data trending, system issues and the system testing environment.# **Major Job Functions**The following is a summary of the major essential functions of this job.
The incumbent may perform other duties, both major and minor, that are not mentioned below.
In addition, specific functions may change from time to time:* Actively monitors and manages unbilled hospital DNB daily at or below administrative goals in an efficient, effective, and professional manner.* Identifies and resolves issues that could lead to delayed or denied claims. Recommends improvements for workflows and automation to address trended issues.* Communicates with HIM Coding Director with concerns/problems that are impacting ability in meeting billing targets.* Monitors Coding Priority WQ in EPIC and work pools in eValuator to expedite completion of records that are high dollar or aged beyond min days.* Assists with coding functions (retrospectively and concurrently) as needed to ensure ongoing and timely workflow.* Assists Providers, Revenue Cycle Departments and Management to facilitate completion of all coding/billing requirements (ex: chart deficiencies, dates out of range, clarification of discharge disposition codes, ED/EC charge entry referrals for potential duplicates/no shows, etc.)* Performs updates to provider SER records and manages WQs that qualify with accounts pending provider NPIs and other data elements required for timely claims filing.* Performs system troubleshooting and testing for coding department.* Other duties as assigned# **Minimum Qualifications**The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:## **Education and Formal Training**:* Associates Degree in Health Information Technology with a minimum of 5 years of related experience required **OR*** Bachelor’s degree in Health Information Management required* Current credentials as a Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT) are required.* CCS credential required.## **Work Experience**:* 5 years’ experience in coding, edit resolution and denial mitigation for inpatient and outpatient records in a multi-specialty setting is required.* Experience in troubleshooting applications used in coding operations preferred## **Knowledge, Skills, and Abilities Required**:* Knowledge of ICD-10-CM/PCS and CPT 4 coding* Knowledge of anatomy and physiology, medical terminology and the various medical specialties as required to accurately code all different types of medical records.* Ability to effectively coordinate staff training and continuing education.* Ability to work well independently* Ability to problem- solve.* Excellent written and oral communication skills.* Knowledge of medical necessity guidelines and recognition of the impact on coding accuracy and appropriate hospital reimbursement## **Physical Requirements**:* Job requires computer literacy.* Speech, sight and hearing required as incumbent must work independently in effectively training and monitoring coding functions.* Long periods of sitting**Required Licenses and Certifications**Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender IdentityFor exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time.Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually.
A private not-for-profit organization with over 7,000 employees and 850 physicians.
Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond.
Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region. #J-18808-Ljbffr
CFVtime type:
Full timeposted on:
Posted Todayjob requisition id:
37148**Facility**Cape Fear Valley Medical Center**Location**Fayetteville, North Carolina**Department**Health Information Management**Job Family****Work Shift**Days (United States of America)**Summary**Under the general direction of the Coding Director, effectively ensures ongoing unbilled DNB metrics are at or below administrative goals in an efficient, effective, and professional manner. This role daily monitors unbilled account WQs that are coded but waiting for information, facilitates processes and communications needed to resolve outstanding deficiencies that prevent claims from billing cleanly and assists in the identification and resolution of process issues, educational opportunities and system performance issues that have a negative impact on successful DNB metrics. The analyst collaborates closely with the HIM Coding Managers on special projects for account clean up, workflow monitoring, and process improvement opportunities. As part of the unbilled monitoring the analyst will also complete coding on outstanding accounts that are pending completion following receipt of missing information to facilitate timeliness of account billing. The DNB analyst will be responsible for reporting, data trending, system issues and the system testing environment.# **Major Job Functions**The following is a summary of the major essential functions of this job.
The incumbent may perform other duties, both major and minor, that are not mentioned below.
In addition, specific functions may change from time to time:* Actively monitors and manages unbilled hospital DNB daily at or below administrative goals in an efficient, effective, and professional manner.* Identifies and resolves issues that could lead to delayed or denied claims. Recommends improvements for workflows and automation to address trended issues.* Communicates with HIM Coding Director with concerns/problems that are impacting ability in meeting billing targets.* Monitors Coding Priority WQ in EPIC and work pools in eValuator to expedite completion of records that are high dollar or aged beyond min days.* Assists with coding functions (retrospectively and concurrently) as needed to ensure ongoing and timely workflow.* Assists Providers, Revenue Cycle Departments and Management to facilitate completion of all coding/billing requirements (ex: chart deficiencies, dates out of range, clarification of discharge disposition codes, ED/EC charge entry referrals for potential duplicates/no shows, etc.)* Performs updates to provider SER records and manages WQs that qualify with accounts pending provider NPIs and other data elements required for timely claims filing.* Performs system troubleshooting and testing for coding department.* Other duties as assigned# **Minimum Qualifications**The following qualifications, or equivalents, are the minimum requirements necessary to perform the essential functions of this job:## **Education and Formal Training**:* Associates Degree in Health Information Technology with a minimum of 5 years of related experience required **OR*** Bachelor’s degree in Health Information Management required* Current credentials as a Registered Health Information Administrator (RHIA), or a Registered Health Information Technician (RHIT) are required.* CCS credential required.## **Work Experience**:* 5 years’ experience in coding, edit resolution and denial mitigation for inpatient and outpatient records in a multi-specialty setting is required.* Experience in troubleshooting applications used in coding operations preferred## **Knowledge, Skills, and Abilities Required**:* Knowledge of ICD-10-CM/PCS and CPT 4 coding* Knowledge of anatomy and physiology, medical terminology and the various medical specialties as required to accurately code all different types of medical records.* Ability to effectively coordinate staff training and continuing education.* Ability to work well independently* Ability to problem- solve.* Excellent written and oral communication skills.* Knowledge of medical necessity guidelines and recognition of the impact on coding accuracy and appropriate hospital reimbursement## **Physical Requirements**:* Job requires computer literacy.* Speech, sight and hearing required as incumbent must work independently in effectively training and monitoring coding functions.* Long periods of sitting**Required Licenses and Certifications**Cape Fear Valley Health System is an Equal Opportunity Employer M/F/Disability/Veteran/Sexual Orientation/Gender IdentityFor exceptional healthcare come to Cape Fear Valley Health where caring employees are committed to integrity, patient-centeredness and excellence throughout the entire healthcare process. At Cape Fear Valley Health, our goal is to improve the quality of every life we touch. Our diverse team of doctors, nurses and staff work together to create a better experience for every patient, every time.Cape Fear Valley is a 950-bed, 8-hospital regional health system, the 8th largest in North Carolina, with more than 1 million inpatient and outpatients annually.
A private not-for-profit organization with over 7,000 employees and 850 physicians.
Our employees and physicians proudly serve a seven-county region of southeastern North Carolina, including Fayetteville, Fort Bragg, Hope Mills, Raeford, Lumberton, Elizabethtown, Clinton, Lillington, Dunn and beyond.
Our medical facilities include Cape Fear Valley Medical Center, Highsmith-Rainey Specialty Hospital, Cape Fear Valley Rehabilitation Center, Behavioral Health Care, Bladen County Hospital, Hoke Hospital, Central Harnett Hospital, Betsy Johnson Hospital, as well as more than 60 medical offices and specialty care clinics spread throughout the Cape Fear region. #J-18808-Ljbffr