As a not-for-profit organization, Partners HealthCare is committed to supporting patient care, research, teaching, and service to the community by leading innovation across our system. Founded by Brigham and Womens Hospital and Massachusetts General Hospital, Partners HealthCare supports a complete continuum of care including community and specialty hospitals, a managed care organization, a physician network, community health centers, home care and other health-related entities. Several of our hospitals are teaching affiliates of Harvard Medical School, and our system is a national leader in biomedical research.
Were focused on a people-first culture for our systems patients and our professional family. Thats why we provide our employees with more ways to achieve their potential. Partners HealthCare is committed to aligning our employees personal aspirations with projects that match their capabilities and creating a culture that empowers our managers to become trusted mentors. We support each member of our team to own their personal developmentand we recognize success at every step.
Our employees use the Partners HealthCare values to govern decisions, actions and behaviors. These values guide how we get our work done: Patients, Affordability, Accountability & Service Commitment, Decisiveness, Innovation & Thoughtful Risk; and how we treat each other: Diversity & Inclusion, Integrity & Respect, Learning, Continuous Improvement & Personal Growth, Teamwork & Collaboration.
Reporting to the Corporate Coding Manager and supporting all RCO Coding management and administration staff, the Coding Coordinator plays a crucial role supporting the daily operational needs of the Revenue Cycle Operations (RCO) Coding department. This position requires strong interpersonal and communication skills, well-developed analytic and organizational skills, independent problem-solving skills and the ability to meet deadlines.
Principal Duties and Responsibilities
Monitors workqueue volumes and days on workqueues compared to department billing WIP (work in progress) standards and communicates with coding teams on workflow prioritization to ensure WIP standards are met and maintained each week.
Prepares weekly WIP reports for department leadership outlining current status, problem areas, actions taken to resolve issues and trouble-shooting recommendations and workflow enhancement opportunities.
Identify trends and/or root cause for accounts holding on workqueues beyond WIP and/or nearing filing limit. Research technical issues that may prevent coding and/or that have been directed to Coding workqueues in error. Provides status of issues to Coding managers and any actions taken to resolve issues.
Coordinates the issues tracking process for Epic and complementary coding applications (e.g. 3M, Nuance, SMART etc) between RCO Coding, PeC and vendors as needed. Opens eCare and Service Now tickets as directed, maintains and updates ticket status, status comments and provides support to stakeholders in timely resolution of outstanding issues.
Documents coding workflow processes and tips sheets for the department and observes users existing workflows to ensure that they are in alignment with current documented processes. Reports on any system/process limitations that may be identified by users or the coordinator him/herself. Updates materials as necessary.
Maintains internal systems and processes used for tracking and reporting DRG Validation and Clinical Validation audit findings, outpatient denials, internal review outcomes and appeals using spreadsheets or databases. Prepares monthly reporting for RCO Coding management and PHS entities as required.
Other duties as assigned by the Coding Administration staff.
Qualifications Two to three years experience in a hospital setting or within the healthcare industry preferred.
Associates or bachelors degree preferred; preferably in finance, business/health administration, health information technology/administration or science.
Basic knowledge of medical terminology and coding classification systems including ICD, CPT and/or HCPCS coding preferred.
Ability to review, interpret and report on operational status of Epic coding workflows and complementary coding applications.
High-level proficiency with computer navigation and with learning a variety of computer applications that support Coding operations.
Knowledge of Microsoft Office applications and intermediate Microsoft Word and Excel skills required.
Excellent organizational skills.
Strong oral and written interpersonal communication skills and the ability to communicate with all levels of the department.
Strong time management skills, ability to independently prioritize work responsibilities, attention to detail, and follow through on assigned work and projects.
Ability to work in a dynamic work environment with indirect reporting relationships and accountabilities.
Ability to research root cause for workflow and/or system issues and provide organized oral and/or written status updates to management.
EEO Statement Partners HealthCare is an Equal Opportunity Employer & by embracing diverse skills, perspectives and ideas, we choose to lead. All qualified applicants will receive consideration for employment without regard to race, color, religious creed, national origin, sex, age, gender identity, disability, sexual orientation, military service, genetic information, and/or other status protected under law.
Primary Location: MA-Somerville-Assembly Row - PHS Work Locations: Assembly Row - PHS 399 Revolution Drive Somerville 02145 Job: Auditing/Compliance Organization: Partners HealthCare(PHS) Schedule: Full-time Standard Hours: 40 Shift: Day Job Employee Status: Regular Recruiting Department: PHS Finance Job Posting: Jul 12, 2019