Coding Coordinator

GENERAL OVERVIEW:

Under minimal supervision assists Coding Management in coordinating coding and charging activities within the scope of the coding Department including: day-to-day communication with vendors managing Epic work queues investigating and completing coding updates and corrections coordinating appeals denials and rebills creating and maintaining complex Excel worksheets. Serves as the HIM Epic Super-user for coding and works closely with Epic analysts to support coding and charging workflows integrated 3M encoder testing and upgrades.

ESSENTIAL RESPONSIBILITIES:

• Reviews dashboards and reports to identify and report needs to coding leadership. (30%)
• Continually assesses and monitors work queues to identify fluctuating needs. Escalates items based on what was identified. (30%)
• Processes records and trends data. (10%)
• Monitors triages enters and tracks IT tickets. (15%)
• Coordinates with other departments to resolve missing documentation and ensure timely billing of visits. (5%)
• Performs other duties as assigned or required. (10%)

QUALIFICATIONS:

Minimum

• 3 years advanced knowledge of billing and coding workflow procedures and departmental processes

Disclaimer: The job description has been designed to indicate the general nature and essential duties and responsibilities of work performed by employees within this job title. It may not contain a comprehensive inventory of all duties responsibilities and qualifications required of employees to do this job.

Compliance Requirement: This job adheres to the ethical and legal standards and behavioral expectations as set forth in the code of business conduct and company policies.

As a component of job responsibilities employees may have access to covered information cardholder data or other confidential customer information that must be protected at all connection with this all employees must comply with both the Health Insurance Portability Accountability Act of 1996 (HIPAA) as described in the Notice of Privacy Practices and Privacy Policies and Procedures as well as all data security guidelines established within the Companys Handbook of Privacy Policies and Practices and Information Security Policy.

Furthermore it is every employees responsibility to comply with the companys Code of Business Conduct. This includes but is not limited to adherence to applicable federal and state laws rules and regulations as well as company policies and training requirements.

Pay Range Minimum:

Pay Range Maximum:

Base pay is determined by a variety of factors including a candidates qualifications experience and expected contributions as well as internal peer equity market and business considerations. The displayed salary range does not reflect any geographic differential Highmark may apply for certain locations based upon comparative markets.

Highmark Health and its affiliates prohibit discrimination against qualified individuals based on their status as protected veterans or individuals with disabilities and prohibit discrimination against all individuals based on any category protected by applicable federal state or local law.

We endeavor to make this site accessible to any and all users. If you would like to contact us regarding the accessibility of our website or need assistance completing the application process please contact the email below.

For accommodation requests please contact HR Services Online at

California Consumer Privacy Act Employees Contractors and Applicants Notice