HIM, TPN, Full Time Summary: The Coding Denial Analyst Lead is responsible for coordinating the RAC risk assessment and response process for TPN to include monitoring all regulatory notifications from government payers that could impact the TPN. This position will be a knowledge expert in claims and coding denial management in the Allscripts PPMS billing system. This position will serve as a liaison between the billing department and coding areas for training where improvement is needed in timely and correct submission of claims. This position reports directly to the Revenue Integrity Manager. Essential Duties:Monitors and mitigates errors found through coding denial management activities in the Network.Provides recommendations for additional education or other actions based on analysis of coding denial trends to the Revenue Integrity Manager.Supervises and provides oversight of coding denial activities performed by Coding Denial Analysts.Works closely with other members of the HIM Department and Revenue Cycle and participates on necessary workgroups pertaining to RAC, coding education and coding denial management.Knowledge expert in Allscripts billing system pertaining to coding requirements, charge entry, and coding denial management for the purposes of communicating necessary training coding staff for optimatization of claims processes. Maintains knowledge of current trends and development in coding, compliance, medical necessity, RAC processes by reviewing online resources, webinars, journals and other resources as needed. Responds to all RAC and Medicare Audit Contractor denials and requests for records in a timely manner and tracks and trends these requests and outcomes.Additional Responsibilities:Keeps abreast of documentation and coding regulation changes for continued education and update of training tools.Works closely with billing management to identify areas where additional education is needed to ensure timely and correct submission of claims. Coordinates claim corrections identified through internal or Compliance review that require timely correction and mitigation.Performs additional reviews as directed to support the activities of the HIM Department.Assists Manager of Revenue Integrity with reviews and duties as requested.Understands and demonstrates the twelve (12) behavior standards for "Embrace the Spirit."Read and comply with Network Policies and Procedure and Personnel Policies as stated.Other duties as assigned.A complete job description is available in Human Resources. QualificationsEducation:Formal education in coding and disease process preferred. Experience:Two years experience in physician office coding required. Familiar with physician documentation and medical charts. Demonstrates an understanding of clinic operational processes. Knowledge of ICD-9-CM and CPT coding principles and guidelines. Knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, billing, and CLIA. Knowledge of privacy laws. Proficiency in computer applications (i.e. Excel, Word). Demonstrates appropriate interpersonal skills. Excellent written and oral communication skills. Excellent analytical skills. Demonstrates and maintains appropriate teamwork and support in areas involving medical practice staff, coding staff, and management team. License/Certification:AHIMA or AAPC (CCS; CCS-P; CPC or CPC-P) certification required within 6 months of hire.Additional Responsibilities:Demonstrates a commitment to service, organization values and professionalism through appropriate conduct and demeanor at all times. Adheres to and exhibits our core values:Reverence: Having a profound spirit of awe and respect for all creation, shaping relationships to self, to one another and to God and acknowledging that we hold in trust all that has been given to us.Integrity: Moral wholeness, soundness, uprightness, honesty and sincerity as a basis of trustworthiness.Compassion: Feeling with othe