HIM Lead Coder
To us, it's about living life to the fullest while serving our patients, teammates, neighbors and friends. We are dedicated and passionate in everything we do, seeking challenge and appreciating the routes that got us here. Whether our path is clinical or not, we all came to find balance and meaning in our lives within the work we are passionate about and the adventures we live.
Vail Health has become the world’s most advanced mountain healthcare system. Our updated 520,000-square-foot hospital opened in December 2020. This state-of-the-art facility provides exceptional care to all of our patients, with the most beautiful views in the area, located centrally in Vail.
Some roles may be based outside of our Colorado office (as stated in the Job Title). Roles based outside of our primary office can sit in any of the following states: AZ, CO, CT, DC, FL, GA, ID, IL, KS, MA, MD, MI, MN, NC, NJ, OH, OR, PA, SC, TN, TX, UT, VA, WA, and WI. Please only apply if you are able to live and work primarily in one of the states listed above. State locations and specifics are subject to change as our hiring requirements shift.
Leads the activities of the Coding Specialists to ensure timely, accurate coding that achieves Vail Health’s quality and financial expectations. Works with the Coding Manager to plan work, organize resources, motivate and monitor staff performance through productivity and quality audits. Reads patient records in accordance with Governmental, third party payer, and facility rules and regulations, accurately assigns and sequences ICD-10-CM diagnosis, ICD-10-PCS procedural codes and/or CPT E&M and procedural codes to inpatient and outpatient records for use in reimbursement and data collection.
- In collaboration with the Coding Manager, train and educate coding staff, perform productivity and quality audits, create departmental/educational policies, and communicate any staffing justifications to achieve timely and accurate coding of all encounters for Vail Health.
- Competently performs all duties of a Coding Specialist III, and code inpatient and 2 or more outpatient record types which may include ProFee coding. Routinely achieves or exceed quality and quantity expectations for coding and abstracting.
- Conduct quarterly reviews of coding quality and maintains productivity records for each coder assigned to Vail Health. Review findings with the individual coding specialists and, when appropriate, establish an action plan to address deficiencies. Track and reports findings to the Coding Manager.
- Collaborate with others in the organization including Medical Staff, other clinicians, and physician office staffs; and with Patient Financial Services to ensure the codes submitted for claims are supported by the documentation in the record. When querying clinical staff, uses appropriate querying techniques to avoid leading the clinician and follows up to ensure queried accounts are dropped within 10 days of the query. As needed, involves the HIM Director or Coding Supervisor.
- Promptly address ticklers (edits) and questions from Patient Financial Services within one business day. May participate in various hospital/physician committees as appropriate and prepare and provide provider in-services.
- Attend all required in-services and coder meetings. Identify and attend training and educational programs conducive to professional growth. Share coding policies, procedures, and coding guidance routinely with staff. As necessary, test staff on their level of understanding the shared materials. Arrange for routine in-service options for coding staff.
- Support the philosophy, objectives, and goals of Vail Health and the HIM department by volunteering in various capacities without compromising performance expectations.
- Contribute to the efficiency of the HIM department. Routinely volunteer to assist others when his/her work is completed.
- Abide by standards of professional and ethical conduct as defined by CMS, AHIMA, and the professional organization from which the incumbent is certified and/or credentialed.
- Understand and comply with policies and procedures related to medicolegal matters including confidentiality, amendment of medical records, release of information, patient rights, medical records as legal evidence, informed consent, etc.
- Role model the principals of a Just Culture and Organizational Values. Perform other duties as assigned. Is knowledgeable of and compliant with VVMC HIPAA, Safety and Compliance Program Policies and Procedures.
- 2 years coding experience required.
- 2 years of hospital inpatient production coding experience preferred.
- Quality and productivity performance is demonstrated and documented for no less than 12 consecutive months.
- One of the following required:
- Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Professional Coder (CPC/CPC-H), Certified Coding Specialist (CCS/CCS-P), or Certified Interventional Radiology/Cardiology Coder (CIRCC) required.
- Use of a computer, keyboard, and mouse and experience with basic Microsoft Office applications, required. Must possess the computer skills necessary to complete work assignments, online learning requirements for job specific competencies, access online forms and policies, complete online benefits enrollment, etc.
- Ability to search resources and/or Internet to locate CMS and third party payer websites for coding requirements and medical necessity guidelines is required.
- Competent in accessing and using an encoder (3M or Trucode), required.
- Graduate of a coding certificate program, associate or bachelor’s degree in health information technology, or other allied health field required.
Benefits at Vail Health
- Competitive Wages & Family Benefits: Competitive wages, parental leave, housing programs and childcare reimbursement to support the cost of living in a mountain community.
- Comprehensive Health Benefits: Top-quality health care package including vision, dental and medical with options of flexible spending and health savings accounts.
- Education Assistance: We are proud to offer tuition and student loan assistance programs.
- Paid Time Off: Roughly five weeks in your first year of employment and continues to grow each year.
- Retirement & Supplemental Insurance: 403(b) Retirement plan with matching potential, life insurance, short and long-term disability, and more.
- Recreation Benefits, Wellness & More: Recreation discounts, pet insurance and a $1,000 annual wellness reimbursement program.
As a condition of employment, Vail Health requires COVID-19 vaccination of all clinical and non-clinical staff, excluding remote status.