ED Coder - Team Lead
Eskenazi Health

Job Info

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Division:Eskenazi Health

Sub-Division:Hospital

Req ID:9862

Schedule:Full Time

Shift:Days

Eskenazi Health serves as the public hospital division of the Health & Hospital Corporation of Marion County. Physicians provide a comprehensive range of primary and specialty care services at the 327-bed hospital and outpatient facilities both on and off of the Eskenazi Health downtown campus as well as at 10 Eskenazi Health Center sites located throughout Indianapolis.

Job Role Summary

The ED Coder Team Leader provides operational and knowledge support related to clinical coding and abstraction of Emergency Department (ED) services. The ED Coder Team Leader is responsible for mentoring new employees, maintaining workflow activities, coaching, keeping abreast of new educational requirements and opportunities for ED coding, and assisting HIM Coding leadership with monitoring productivity and coding quality. The ED Coder Team Leader acts as a resource for the ED coders, ED CDU coders and ED charge/chart reconciliation.

Essential Functions and Responsibilities

• Assists with maintaining the workflow activities of ED coding while exercising professional judgment
• Oversees an efficient workflow and suggests improved methods
• Mentors and trains new employees and reports progress to HIM leadership
• Coordinates ongoing learning activities for coding staff; identifies educational needs, identifies and/or develops learning activities, evaluates potential educational programs, tracks participation in educational activities and evaluates the impact of educational activities
• Provides assistance to other coders with questions related to coding
• Works with other departments to resolve identified concerns related to the ED medical record
• Coding and Abstracting: Identifies and assigns the appropriate diagnosis, procedure, and evaluation and management (E&M) codes in accordance with coding guidelines and HIM and ED standards; provides support and day-to-day oversight of coding process
• Problem Solving: Utilizes available resources appropriately to maintain quality and consistency in coding, abstraction, and charge entry processes; follows a defined process to query the medical staff for completion and/or clarification of documentation necessary to ensure coding compliance and accuracy
• Software Applications: Utilizes applicable software to retrieve documentation, abstract data/codes, and retrieve work lists; keeps informed about upcoming upgrades and participates in planning, testing and implementing software upgrades; identified systems include: EPIC, McKesson Intelligent Coding (MIC), 3M 360 CAC, NThrive and legacy systems
• Notifies HIM leadership if inappropriate or unethical coding practices are identified or if there is uncertainty with legibility of the record, questionable, or unclear documentation
• Maintains communication with ED leadership regarding documentation, charge capture, CPT and regulatory updates
• Performance Improvement: Provides feedback with changes in regulatory and reimbursement documentation requirements as well as identifies opportunities for documentation improvement and education; assists HIM leadership with monitoring productivity standards and quality
• Supports departmental and organization-wide initiatives
• Communicates, coordinates and collaborates with others

Job Requirements

Registered Nurse with ED or Critical Care experience preferred - Will consider non-RN coder with appropriate experience and credentials (R.H.I.A., R.H.I.T., CCS, CCS-P, or CPC)

• If not credentialed, one of the above credentials will be attained within 18 months of hire or at the discretion of HIM Coding Director
• Two (2) years of coding experience utilizing ICD-10 CM, CPT-4, and HCPCS code classification systems is required

Knowledge, Skills & Abilities

• Possesses basic computer skills and the ability to learn new skills and software applications quickly
• Ability to maintain a high level of concentration, self-motivation, attention to detail and persistent follow-up
• Knowledge and understanding of ICD-10 CM, CPT and CMS transmittals and changes with coding, regulatory and reimbursement requirements
• Knowledge of Local Coverage Determinations (LCDs), Correct Coding Initiative (CCI) edits, and the healthcare billing process
• Knowledge of medical terminology, anatomy and physiology, diagnostic and therapeutic tests, surgical procedures, and medical record documentation standards and retrieval
• Knowledge of E&M guidelines and assignment for emergency department facility coding
• Ability to apply medical necessity coverage determinations as applicable, and seek coverage in the medical record documentation
• Knowledge of guidelines for observation status - hourly charges, active monitoring and carving out observation hour charges, admission and discharge requirements
• Requires computer skills and the ability to learn new skills quickly
• Ability to solve routine job-related issues, and exercise sound judgment when requesting assistance from management
• Ability to set and adjust priorities with multiple ongoing activities

Accredited by The Joint Commission and named one of the nation's 150 best places to work by Becker's Hospital Review for four consecutive years and Forbes list of best places to work for women, and Forbes list of America's best midsize employers' Eskenazi Health's programs have received national recognition while also offering new health care opportunities to the local community. As the sponsoring hospital for Indianapolis Emergency Medical Services, the city's primary EMS provider, Eskenazi Health is also home to the first adult Level I trauma center in Indiana, the only verified adult burn center in Indiana, the first community mental health center in Indiana and the Eskenazi Health Center Primary Care - Center of Excellence in Women's Health, just to name a few.

Nearest Major Market: Indianapolis

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