Coding and Documentation Coordinator in Flemington, New Jersey at Hunterdon Health Care System

The Coding and Documentation Coordinator monitors financial and operational reports to facilitate the timely and accurate submission of inpatient and outpatient claims in an unbilled or billed status in order to maintain weekly Diagnosis Not Final Bill (DNFB) and Billing Rejections benchmarks. The Coordinator also provides support to the CDI team in query follow-up, clinical validation tracking and the preparation operational reports. Serves as the key contact with the Patient Financial Services Dept as it relates to DNFB accounts. Determines the root cause of the coding, documentation, and billing delays and using the HMC DNFB escalation policy procedure, follows-up with the appropriate business owner to resolve.

1. Follows-up daily on accounts that have aged beyond the day from coding and the turnaround time established for billing rejection resolution.
2. Assists in obtaining clinical reports (e.g., Pathology, Scripts) from Clinical Depts/physician offices when not available in the medical record.
3. Maintains an inventory listing of missing data and communicates barriers to resolution to the CDI/Coding Manager.
4. Identifies root causes of delays and associated trends and works with the HIM leadership team and Physician Advisor in the elimination of the root causes of billing delays.
5. Creates a weekly DNFB status report.
6. Assists with the query resolution and reporting procedures
7. Logs and tracks clinical validation audits and outcome
8. Assists with the resolution of HIM and Coding related edits
9. Assists with assigning accounts and providing necessary documentation (e.g., via imaging, faxing) to internal coders and external vendors.
10. Assists with monthly operational reporting
11. Other duties as assigned

Minimum Education:

Required:

Related Associates Degree or RHIT

Preferred:

Minimum Years of Experience (Amount, Type and Variation):

Required:

Preferred:

License, Registry or Certification:

Required:

Preferred:

Knowledge, Skills and/or Abilities:

Required:

• Demonstrated competencies in Excel, Word and critical thinking
• 1-3 years’ experience in the Revenue Cycle

Hunterdon Health is committed to providing a competitive benefit package to our employees. Benefit offerings vary based on status and may include but not be limited to medical, dental, vision, family forming, paid time off, tuition reimbursement, and retirement savings.

The hiring range listed is the potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement. When determining an applicant’s hourly rate and/or base salary, several factors may be considered as applicable (e.g., years of relevant experience, education, internal equity, and specialty).