Coding Lead/ CDI Specialist

Our patients are our number one priority! We're committed to giving children back their childhood!

Job Posting Title:

Coding Lead/ CDI Specialist

Location:

Dallas - Hospital

Additional Posting Details:

Monday - Friday

Full-time hours

Location: Hybrid/ Remote (must be local to the Dallas/Fort Worth area)

Job Description:

Duties/Responsibilities

• Supports priorities assigned by Manager and/or Assistant Manager; acts as a resource to staff.
• Identifies and escalates coding issues and in recommending coding workflow solutions to resolve issues and improve operations.
• Cultivates and maintains professional relationships within the department and organization.
• Identifies denial and claim edit patterns and escalates to management as appropriate with sufficient information for additional follow-up, and/or root cause resolution.
• Assists in developing clinical documentation policies, and processes as it relates to documentation of diagnoses and procedures for accurate assignment of DRG/APR-DRG, that have an impact on severity of illness (SOI) levels.
• Stays abreast of coding changes to proactively prevent errors/financial penalties from occurring and works closely with leadership in development of educational content material to ensure is consistency for providers and coding staff 
• Promotes clarification of clinical documentation by use of query tools as needed, communicating with clinicians regarding missing, unclear, or conflicting medical record documentation
• Performs audits as needed for special projects and/or new organizational procedures and specialties, summarizes findings, reports to management, and assists in development of presentations to educate staff and clinicians
• Responsible for improving the overall integrity of medical record documentation in outpatient/inpatient setting through appropriate interaction and ongoing education with physicians, fellows, residents, allied health staff and working closely with Internal Coding Auditor and HIM coding staff
• Collaborates with appropriate Empower Analysts to assist with development of processes, functioning Workqueues (WQ), useful system workflows that ensure limited errors and help increase productivity of staff
• Performs all other duties as assigned

Required Skills/Abilities

• Associate’s or Bachelor’s degree in HIM or related field preferred
• Four (4) years of coding experience with ICD-10, CPT and Pro-Fee Coding in an acute care hospital and clinic setting
• Inpatient Coding preferred.
• Demonstrates ability to communicate effectively, displays interpersonal skills in working with others in a capacity with demonstrated leadership and strong management abilities 
• Ability to converse, educate, present, and work effectively with all providers and clinical staff  
• Knowledge of current coding practices and guidelines, rules, regulations, and coding ethics
• Completes required continuing education to maintain credentials and license
• RHIA, or RHIT, or CCS, or CCDS, required
• CDIS/CDIP preferred
• Work requires strong management and leadership skills
• Work requires strong analytical, critical thinking and organizational skills with a high level of accuracy and attention to detail skills
• Work requires excellent customer service, interpersonal, and communication skills (verbal and written)
• Work requires ability to report, and problem solve using discretion, judgment, and professionalism
• Work requires ability to handle multiple tasks, show initiative, and adjust to changes as appropriate under a stressful environment, while meeting tight deadlines and prioritizing given tasks