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Northwell Health Lead Coder in Lake Success, New York

Req Number 13108

Job Description

Job Description

Leads and guides staff in the performance of coding and abstracting duties to assure accurate completion of coding for all assigned patient records. Provides coding support and guidance for all outpatient and/or inpatient related coding questions.

Job Responsibility

  • Leads and guides and preforms the duties of inpatient/outpatient coders and acts as a liaison to patient accounts/billing for coding related Issues.

  • Analyzes and interprets the medical record in its entirety to ensure accurate, complete and consistent selection of diagnoses and procedures to assure the production of quality healthcare data and accurate facility payment.

  • Calls the attending physician, if necessary, to obtain specific and accurate principal and secondary diagnosis.

  • Researches questions and responds/educates coder within 2 business days.

  • Reviews documentation, urgent charging issues and unusual patient incidents and advises coding management.

  • Identifies and quantifies documentation and charging issues in collaboration with coding management; acts as a liaison to patient accounts/billing for coding related issues.

  • Applies the specified data definitions as well as any additional regulatory guidelines and/ or coding references to select the principal diagnosis, secondary diagnoses, and all significant procedures as documented in the medical record.

  • Assists, guides, and/or trains new employees as directed or may be deemed appropriate.

  • Communicates to administrative and professional staff appropriate principles, policies, regulations and standards to assure the completeness and accuracy of the patient's medical records.

  • Performs related duties as required. All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.

Job Qualification

  • High School Diploma or equivalent required.

  • Current Professional Coder Certification, or Current Coding Professional Certification required, plus specialized certifications, as needed.

  • 1 - 3 years of technical experience, required.