Job description / Role

Employment: Full Time

The Lead Coder is responsible for reviewing and analyzing medical records in order to abstract relevant data from patient medical records and ensuring appropriate codes are assigned in accordance with the clinical coding system. The incumbent is also responsible for working closely with finance, revenue cycle departments, registration, scheduling, case management, coding coordinators, coders and coding audit compliance to resolve coding/billing issues. The Lead Coder also investigates and resolves problems, complaints and incidents occurring within the coding section, and assists the Manager Coding with resolution of such issues and managing the team.

KEY ROLE AND ACCOUNTABILITIES
- Ensures timely, accurate, and complete clinical data for billing, reimbursement, utilization and patient information systems
- Ensures accurate coding and sequencing as specified by established coding principles and guidelines, following the clinical coding system
- Ensures implementation of coding productivity and quality guidelines to ensure timeliness and accuracy of final bill.
- Supports the Manager Coding with the review process including record review, report generation and other duties as needed
- Allocates the appropriate specific codes from the indexing system and assigns the codes for completing coding summary of the medical records
- Investigates and resolves problems, complaints and incidents occurring within the coding section, and reports these occurrences to the Manager Coding
- Ensures consistency in information data flow and documentation requirements for effective medical coding and grouping
- Validates that encoded information is reported with the most accurate information
- Ensures continuous studies on coding practices and coding schemes to enhance the accuracy and timely completion of coding data
- Ensures prioritization of coding tasks and designates work assignments to the Coders
- Leads the daily coding compliance record reviews and ensures accuracy of reports
- Leads the development of coding reconciliation processes, policies and procedures
- Creates reports on unbilled records due to documentation, charge errors, and registration errors
- Reports the number of DRG / coding changes below Sidras specified threshold to the Manager - Coding
- Assures codes are supported by provider documentation and initiates appropriate queries based upon other clinical documentation for accurate and reliable data collection and reimbursement
- Monitors coding systems to ensure optimal performance and recommends upgrades or changes to current system
- Acts as a resource for coders to address coding related issues and questions
- Implements changes in coding rules regarding correct coding initiatives and coding clinics as received from the Manager Coding
- Stays abreast of changes in laws, regulations and policies that impact clinical documentation, reimbursement and coding to assure compliance
- Monitors the coding / abstracting systems and ensures that appropriate computer systems are updated with the annual code changes and any other associates changes or updates
- Implements and monitors policies and procedures, guidelines and compliance plan for coding. Ensures coding processes are compliant and efficient
- Works cooperatively with revenue cycle departments, registration, scheduling, case management, coding coordinators, coders, coding reconciliation specialists and compliance officer to resolve coding/billing issues
- Works closing with finance to maintain AR days at an acceptable level and track the Days Not Final Billed (DNFB)
- Leads the preparation of medical records for the quality assurance and medical audit purposes by providing the coding data
- Responsibility for education of all new coders and training requirements
- Defines goals and key performance indicators for each member of the team and ensures effective application of the Sidra performance management process
- Leads with the planning and selection of manpower for the Coding team, in line with the business and operational plans
- Ensures high level of employee engagement and capability development by providing on-going feedback and coaching team members
- Adheres to Sidras standards as they appear in the Code of Conduct and Conflict of Interest policies

In view of the evolving needs and opportunities within Sidra during this pre-operational phase, this position may be required to perform other duties as assigned and reporting relationships may vary.

Requirements

- Bachelors Degree field
- 7+ years of progressive experience in coding clinical information systems
- 3+ years of senior lead experience in HIM /Coding
- Credentialed Coder Certificate (CPC, CCS)Registered Health Information Certificate (RHIT, RHIA)
- Proficiency in ICD10 and ACHI coding for inpatient, outpatient, ambulatory surgery,observations,emergency department visits, and ancillary services
- Experience in working with billing systems
- Proficiency with Microsoft Office suite
- Fluency in written and spoken English

About the Company

Sidra Medical and Research Center will be an ultramodern, all-digital academic medical center which will set new standards in patient care for women and children in Qatar, the Gulf region and internationally.

It will encompass three essential missions:

World-Class Patient Care Medical Education Biomedical Research

Sidra will work closely with its academic partner Weill Cornell Medical College in Qatar (WCMC-Q) and Hamad Medical Corporation in regard to all three missions, raising the standard of health care throughout the country and providing valuable opportunities for research and learning. Sidra is part of a dynamic research and education environment in Qatar that includes leading international institutions, such as Georgetown University, as well as other newly established national research centers.

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