Hennepin Healthcare
Coding Liaison, Professional Billing Coding
Hennepin Healthcare, Minneapolis, Minnesota, United States, 55400
Job DescriptionCoding Liaison, Professional Billing Coding
(251859)**Purpose of this position:** Provides support, education, and feedback to the Physicians, Advanced Practice Providers, Residents, and Coding Staff on documentation guidelines and billing trends**RESPONSIBILITIES:*** Assists with New Provider Onboarding* Presents education points and/or findings to Physicians, Advanced Practice Providers, Residents, and Coding Staff regarding coding and billing trends and related quality metrics* Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings* Organizes, analyzes, and presents data for the purpose of supporting Department Chiefs, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement* Collaborates with other departments and key stakeholders to determine trends and educational needs* Analyzes provider documentation and billing practices through financial and coding activity reports, as well as documentation reviews, to identify potential opportunities for revenue capture and recognize areas of compliance concern* Performs a detailed annual review of CPT and ICD-10-CM which includes identifying codes that have been deleted, added, or replaced; identifies description changes and communicating these changes to clinical departments that will be impacted* Supports clinical areas and departments in charge capture and coding accuracy to ensure organization-wide uniformity of charges and coding for similar products and procedures* Identifies/investigates issues with medical necessity, coding, and billing that reduce reimbursement; recommends action steps and works collaboratively with the department to improve processes when operational weaknesses and/or compliance issues are found* Conducts annual provider quality reviews to evaluate the appropriateness of services and procedures billed based on supporting documentation; evaluates appropriateness of diagnoses (ICD) and procedural (CPT) codes billed for services; evaluates adequacy of documentation to meet the Teaching Physician guidelines; evaluates level of service billed for evaluation and management (E/M) services, evaluates appropriateness of modifier usage* Other duties as assigned**SUMMARY:**
We are currently seeking a **Coding Liaison** to join our Professional Billing Coding team. This full-time role is designated for the day shift and is primarily remote (approximately 90%). However, occasional on-site presence may be required based on operational needs.* Two (2) years post-secondary education in HIM field-OR-* Three (3) years external coding/reimbursement experience-OR-* An approved equivalent combination of education and experience***Preferred Qualifications:**** Bachelor’s Degree in health related field***Knowledge/ Skills/ Abilities:**** Strong interpersonal and communication skills* Comfortable discussing patient care/clinical presentation of the patient (as it relates to quality metrics and coding) with providers* Able to present to both small and large (up to 100) groups* Initiates judgment, makes decisions, and works autonomously* Ability to work with a variety of stakeholders at various levels of authority within the organization* Problem solving and conflict resolution* Analytical and critical thinking skills***License/Certifications:**** RN* CCS-P, CPC, RHIT, RHIA* CDIP, CCDS**QUALIFICATIONS:**
***Minimum Qualifications:***You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing **Equal Employment Opportunities** to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.
**Please Note:**
Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.* We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.* We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement *(Available **ONLY** for benefit eligible positions)*.* For a complete list of our benefits, please visit our career site on why you should work for us.## Primary Location: MN-Minneapolis-Downtown CampusEligible for Benefits: Yes #J-18808-Ljbffr
(251859)**Purpose of this position:** Provides support, education, and feedback to the Physicians, Advanced Practice Providers, Residents, and Coding Staff on documentation guidelines and billing trends**RESPONSIBILITIES:*** Assists with New Provider Onboarding* Presents education points and/or findings to Physicians, Advanced Practice Providers, Residents, and Coding Staff regarding coding and billing trends and related quality metrics* Develops and executes departmental review projects with measurable financial and/or compliance goals per analysis findings* Organizes, analyzes, and presents data for the purpose of supporting Department Chiefs, Practice Managers, and other stakeholders throughout the organization to outline and institute strategies for improvement* Collaborates with other departments and key stakeholders to determine trends and educational needs* Analyzes provider documentation and billing practices through financial and coding activity reports, as well as documentation reviews, to identify potential opportunities for revenue capture and recognize areas of compliance concern* Performs a detailed annual review of CPT and ICD-10-CM which includes identifying codes that have been deleted, added, or replaced; identifies description changes and communicating these changes to clinical departments that will be impacted* Supports clinical areas and departments in charge capture and coding accuracy to ensure organization-wide uniformity of charges and coding for similar products and procedures* Identifies/investigates issues with medical necessity, coding, and billing that reduce reimbursement; recommends action steps and works collaboratively with the department to improve processes when operational weaknesses and/or compliance issues are found* Conducts annual provider quality reviews to evaluate the appropriateness of services and procedures billed based on supporting documentation; evaluates appropriateness of diagnoses (ICD) and procedural (CPT) codes billed for services; evaluates adequacy of documentation to meet the Teaching Physician guidelines; evaluates level of service billed for evaluation and management (E/M) services, evaluates appropriateness of modifier usage* Other duties as assigned**SUMMARY:**
We are currently seeking a **Coding Liaison** to join our Professional Billing Coding team. This full-time role is designated for the day shift and is primarily remote (approximately 90%). However, occasional on-site presence may be required based on operational needs.* Two (2) years post-secondary education in HIM field-OR-* Three (3) years external coding/reimbursement experience-OR-* An approved equivalent combination of education and experience***Preferred Qualifications:**** Bachelor’s Degree in health related field***Knowledge/ Skills/ Abilities:**** Strong interpersonal and communication skills* Comfortable discussing patient care/clinical presentation of the patient (as it relates to quality metrics and coding) with providers* Able to present to both small and large (up to 100) groups* Initiates judgment, makes decisions, and works autonomously* Ability to work with a variety of stakeholders at various levels of authority within the organization* Problem solving and conflict resolution* Analytical and critical thinking skills***License/Certifications:**** RN* CCS-P, CPC, RHIT, RHIA* CDIP, CCDS**QUALIFICATIONS:**
***Minimum Qualifications:***You've made the right choice in considering Hennepin Healthcare for your employment. We offer a wealth of opportunities for individuals who want to make an impact in our patients' lives. We are dedicated to providing **Equal Employment Opportunities** to both current and prospective employees. We are driven to connect talented individuals with life-changing career opportunities, enabling you to provide exceptional care without exception. Thank you for considering Hennepin Healthcare as a future employer.
**Please Note:**
Offers of employment from Hennepin Healthcare are conditional and contingent upon successful clearance of all background checks and pre-employment requirements.* We offer a competitive pay rate based on your skills, licensure/certifications, education, experience related to this position, and internal equity.* We provide an extensive benefits program that includes Medical; Dental; Vision; Life, Short and Long-term Term Disability Insurance; Retirement Funds; Paid Time Off; Tuition reimbursement; and license and Certification reimbursement *(Available **ONLY** for benefit eligible positions)*.* For a complete list of our benefits, please visit our career site on why you should work for us.## Primary Location: MN-Minneapolis-Downtown CampusEligible for Benefits: Yes #J-18808-Ljbffr