Inpatient Coder Analyst IV -Coding Quality Liaison- AdventHealth Tampa- West Florida DIV
Work Hours/Shift:FT Days - Virtual
The Coder Analyst IV Quality Liaison is a Health Information Professional with a high level of coding and clinical proficiency necessary for the oversight of coding integrity, and ability to function as a liaison to the Quality and Clinical Documentation Improvement teams for the West Florida Division. Under administrative guidance, the Coder Analyst IV will conduct concurrent mortality, quality, and risk adjustment review of patients in conjunction with the Clinical Documentation Improvement Quality Liaison and designated Quality team members at our facilities. Must have strong coding skills that will promote effective and efficient review of clinical documentation to defend code assignment and develop education based on concurrent review findings successfully and appropriately. Will serve as the coding expert on the concurrent review process ensuring all coded data is accurately reflected and supported in the physician documentation. Will work in conjunction with CDI, HIM, Quality, and Informatics leadership across the division to create synergies, maintain bidirectional communication, and act as liaison between CDI, Quality and clinical and administrative partners within the hospital setting and beyond, ensuring open communication and collaboration toward common goals. Actively participates in exemplary customer service and accepts responsibility in maintaining relationships that are equally respectful to all. Adheres to Corporate Compliance Plan and to all rules and regulations of all applicable local, state and federal agencies and accrediting bodies.
PRINCIPAL DUTIES AND JOB RESPONSIBILITIES:
Performs daily all payer mortality reviews post discharge in conjunction with CDI Clinical Documentation Quality Liaison Manager to identify additional opportunities in SOI/ROM and queries when appropriate bridging the gap between clinical documentation and coded data.
Sends pre-bill mortality coding to designated Quality team members.
Ensures clinical documentation is supportive of coded conditions.
Works in conjunction with the Clinical Documentation Quality Liaison to outline educational opportunities for coders, CDI, and physicians based on SOI/ROM and risk adjustment findings.
Functions as the coding expert on the concurrent review process. Ensuring all coding guidelines are followed in the review process.
Reviews PSI/HACs concurrently to identify query or educational opportunities for coding and physicians. Notifies the appropriate Quality representative when a HAC/PSI has occurred in their facility.
Participates in quality discussions/committees regarding mortality/PSI/HAC coded data.
Completes Iodine Retrospect reviews. Working closely with CDI Quality Liaisons to respond to Retrospect findings.
Functions as a liaison between coding and CDI when a coding team member escalates an account for review and final DRG decision.
May assist with auditing and/or coding when necessary.
KNOWLEDGE AND SKILLS REQUIRED:
Excellent interpersonal skills including excellent verbal and written communication skills; proficient in and demonstrate excellent physician relations.
Able to organize and present information clearly and concisely; excellent computer and keyboarding skills; ability to use multiple software programs simultaneously; high degree of prioritization skills.
High level of expertise as a coding professional.
Dependable, self-motivated and pleasant
Utilize and demonstrate excellent critical-thinking, problem-solving and deductive-reasoning skills
Knowledge and expertise in Coding Guidelines and Coding Clinic.
Knowledge of pathophysiology, disease processes and treatments
Knowledge of regulatory environment
Strong ability to organize/triage work and manage multiple priorities at once with little supervision.
Possesses knowledge about risk adjustment and hospital publicly reported data.
Possesses knowledge about patient safety indicators, SOI/ROM, and the importance of hospital publicly reported data, value based purchasing, and how coding impacts these measures.
EDUCATION AND EXPERIENCE REQUIRED:
7 to 10 years’ experience in an acute care coding position with at least 5 years inpatient coding experience
LICENSURE, CERTIFICATION OR REGISTRATION REQUIRED:
Licensure, Certification or Registration Preferred:
At AdventHealth, Extending the Healing Ministry of Christ is our mission. It calls us to be His hands and feet in helping people feel whole. Our story is one of hope — one that strives to heal and restore the body, mind and spirit. Our more than 80,000 skilled and compassionate caregivers in hospitals, physician practices, outpatient clinics, urgent care centers, skilled nursing facilities, home health agencies and hospice centers are committed to providing individualized, wholistic care.