Coding Liaison

The Coding Liaison works with the Coding Liaison Manager and Director of Coding Quality Management to establish open lines of communication regarding potential coding quality concerns. The Coding Liaison assists with coding review inquiries related to ICD-10, CPT, DRG/APR-DRG or APC codes. Our collaborative partners include the following R1 teams: Coding, Quality, Education and Training Teams, Revenue Integrity, CDM and PFS/Site Leaders. The coding liaison team also works with site customers including CDI, Quality/Risk, Case Management, Patient Advocate’s, Physician Advisors, Clinical Departments and Administration.
Responsibilities:

• Completes requests from customers and collaborative partners noted above to determine if coding quality issues exist. Review results are shared with Local and Regional Coding Site managers, Coding Advisory team and R1 Education and Training team as needed when coding issues are identified
• Works with the CDI team, assisting with the resolution of documentation inconsistencies and DRG variances
• Educates the CDI team and Physician Advisor on coding changes, DRGs, Official coding guidelines and documentation requirements
• Attends various meetings to include CDI/Mortality/PSI/Revenue Integrity/R1 Coding Quality as needed
• Works with the Quality & Risk teams to review coding related to HACs, PSI, Mortalities, Core Measures and focused CMS initiatives
• Provides coding education/guidelines to Quality and Risk, related to HAC, PSI, Mortalities, Core Measures and all other CMS reporting related to pay for performance
• Conduct coding reviews related to potential lost revenue via Axiom and high dollar medical necessity edits
• Identify trended coding quality issues requiring new or refresher coder education for accurate and compliant code, DRG/APR-DRG, APC assignment

Required Qualifications:

• RHIA, RHIT, CCS certifications or a combination is required
• Minimum of five years of inpatient coding
• Strong problem-solving skills
• Strong analytical skills and ability to comprehend and analyze large quantities of operational data
• Ability to review complex medical records
• Ability to interact professionally with other associates, department directors and the Medical Staff through effective verbal and written communication
• Experience with Excel, PowerPoint and Word
• Strong communication and presentation skills

Preferred Qualifications:

• Experience in a large (> 500 beds) hospital or multi-hospital health system
• Experience working with the CDI team is preferred
• Prefer additional knowledge/experience in outpatient coding
• Training in hospital Clinical Documentation Improvement
• Inpatient or outpatient coding audit experience

For this US-based position, the base pay range is $18.69 - $39.35 per hour . Individual pay is determined by role, level, location, job-related skills, experience, and relevant education or training.

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