Job Openings: Coding and HIM Positions in NY Metro Area

Job-Openings-(long)

PRN Advisors is seeking candidates for several opportunities for coding and HIM professionals in the NY Metro Area.  Job descriptions of the type of positions available are below. If you are interested in applying for these openings, please contact jobs@prnadvisors.com, subject line: NY Metro Area Jobs. Note: To be eligible for these positions, you must have submitted your professional information into our new PRN Advisors Coder Database (www.prnadvisors.com/coder-database).


INPATIENT CODER

HOSPITAL OVERVIEW
At one of New York’s top hospitals, you’ll work closely with top physicians and documentation improvement nurses while employing the unique specialty coding model. There’s never been a better time to join our team. Newly opened offices located near Penn Station in the heart of Manhattan will now house our growing department. And recent conversion to EMR across all five campuses is taking health information management to exciting heights. Feel the excitement of fast-advancing patient care. Explore these opportunities to Make It Possible:

JOB DESCRIPTION
The Inpatient Coder performs varied and complex diagnostic and procedural coding for accurate DRG, severity of illness, and risk of mortality assignment.
Looking for 2-5 years of Inpatient Coding experience  Must be willing to work ONSITE (not remote) at our midtown location – near Macy’s 35th Street

QUALIFICATIONS
Preferred candidates will have completed college level coursework in anatomy, physiology and medical terminology and a formal inpatient coding training program. CCS, RHIA or RHIT is required. Two to three years of experience in complex diagnostic and procedural inpatient coding within an academic medical center supported by a high school diploma or equivalent is required.

CCS, RHIA or RHIT  Certification required

Looking for two to three years of experience in complex diagnostic and procedural inpatient coding within an academic Medical Center

*   *   *

INPATIENT CODER

This is a leading regional medical center based in Passaic County. They are cornered around a 500+ state of the art academic teaching hospital that is a premier healthcare provider in northern New Jersey. The healthcare system is responsible for 34k inpatients, 168k ED visits annually and is one of the largest employers in Northern NJ. The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics. Our highly acclaimed Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999.

The Inpatient Coder abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-9-CM and/or CPT codes to patient records according to established procedures. Provide timely and accurate ICD-9-CM and CPT codes for reimbursement and specific information for statistical purposes. Works with coding databases and confirms DRG assignments. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines, documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.  CCS preferred but not required, at least 3+ years of hospital coding experience.

*   *   *

OUTPATIENT CODER

This is a leading regional medical center is based in Passaic County. They are cornered around a 500+ state of the art academic teaching hospital that is a premier healthcare provider in northern New Jersey. The healthcare system is responsible for 34k inpatients, 168k ED visits annually and is one of the largest employers in Northern NJ. The Medical Center offers a full complement of specialty and subspecialty services including ambulatory, behavioral health, cardiovascular, emergency/trauma, internal medicine, neuroscience, oncology, orthopedic/spine, rehabilitation, surgical specialty, women’s health, imaging and pediatrics. Our highly acclaimed Children’s Hospital, has held the Magnet Award for Nursing Excellence, the profession’s highest honor, since 1999.

The Outpatient Coder abstracts clinical information from a variety of medical records, charts and documents and assigns appropriate ICD-9-CM and/or CPT codes to patient records according to established procedures. Provide timely and accurate ICD-9-CM and CPT codes for reimbursement and specific information for statistical purposes. Works with coding databases and confirms DRG assignments. Knowledge of anatomy/physiology and disease process, medical terminology, coding guidelines, documentation requirements, familiarity with medications and reimbursement guidelines; and encoder experience.  CPC Preferred but not required w/ 3+ years of experience.

*   *   *

CODING PROCESS MANAGER

JOB DESCRIPTION
Opening in Stamford, CT. Responsible for managing all aspects of the inpatient and outpatient coding process to optimize reimbursement and promote clinical documentation quality.  It is the point of contact for the hospital’s outsourced coding vendor by providing assistance, direction and feedback as appropriate.  It is also serves as the liaison between the coding team and the Clinical Documentation Improvement (CDI) team. Direct report to Director of HIM.
Position is on site – does not manage the coders, but, works closely with the Director

QUALIFICATIONS/REQUIREMENTS

  • RHIA or RHIT with CCS certification
  • Prefer five years’ experience in coding at acute care teaching hospital.
  • Minimum of Associate’s degree, Bachelor’s degree preferred.  Master’s degree most desirable.
  • Proficient with 3M Encoder.
  • Experience with MEDITECH and/or HPF McKesson preferred.
  • Proficiency in Microsoft applications, including Outlook, Word, Excel and Power Point.
  • Familiarity with CDI software (i.e.,  JATA, MIDAS, Optum, Chartwise)
  • Knowledge of Joint Commission requirements and federal and state guidelines applicable to health record completeness and patient privacy rights
  • Willingness to evaluate current processes, offer suggestions for improvement, and adapt to change.
  • Excellent interpersonal skills to work closely with physicians, staff, and other hospital personnel and the ability to make presentations to diverse groups.

MAJOR ACCOUNTABILITIES/CRITICAL RESPONSIBILITIES

  • Responsible for minimizing the DNFB through effective management of coding workflow and  charge capture discrepancies including analysis of coding edits and working with internal department leads to obtain accurate and timely documentation.
  • Ensures organization remains within established benchmark.
  • Responsible for validation of DRG discrepancies between IP coding outsourced team and CDI team and providing constructive feedback to both parties.
  • Evaluates and responds to 3rd party notices/denials, including Recovery Audit program DRG changes, coding changes, or other denials.
  • Develops materials and leads education sessions for the CDI and IP coding teams at least monthly.
  • Develops materials and leads education sessions for physicians or departments as necessary.
  • Develops materials and leads education for the CDI and coding teams, including provider query modification and DRG optimization strategies as they relate to ICD-10 or any other industry initiatives.
  • Manages IP and OP query process to ensure providers respond to coder queries in a timely manner.
  • Develops policies and procedures consistent with professional standards, legal/regulatory requirements and administrative goals.
  • Monitors denied claims reports attributed to HIM to correct ongoing issues that are resulting in denials.
  • Monitors inpatient case mix reports and top 25 assigned DRG’s in the facility to identify patterns, trends, and variations evaluating potential causes of issues and suggesting corrective action.
  • Responsible for working with Case Management Director to identify areas of opportunity to query providers and identify providers with consistent documentation inefficiencies.
  • Ensures that outsourced coding consultants understand and agree to adhere to the organization’s HIM compliance program.
  • Escalates to outsource manager any concerns related to coding processes and/or employee performance issues.
  • Abides by the Standards for Ethical Coding as set forth by the American Health Information Management Association and monitors coding staff for violations and reports to the HIM Director when areas of concern are identified.
  • Serves as the facility representative for coding/clinical data management by attending coding and reimbursement workshops and brings back information to the appropriate departments.
  • Other duties assigned by the Director of HIM.

If you are interested in applying for these openings, please contact jobs@prnadvisors.com, subject line: NY Metro Area Jobs. Note: To be eligible for these positions, you must part of our new PRN Advisors Coder Database (www.prnadvisors.com/coder-database).