Elliot Hospital

Medical Billing and Coding

• Lead hospital and professional coding operations to ensure accuracy, timeliness, and compliance
• Monitor coding volumes, turnaround times, productivity, quality, and regulatory adherence
• Translate organizational strategy into departmental goals, action plans, and performance metrics
• Foster strong collaboration between Coding and Clinical Documentation Improvement (CDI) teams
• Develop and implement coding and documentation improvement policies and procedures
• Partner across the organization with physicians, administrators, IT, revenue cycle teams, and vendors
• Manage departmental operating budgets and resources
• Hire, train, coach, and evaluate coding staff; support performance improvement and development
• Oversee both in-house and vendor-supported coding teams to meet productivity and quality standards
• Ensure compliance with federal regulations, payer guidelines, and organizational policies
• Generate, analyze, and act on coding productivity and quality reports
• Conduct audits, provide education, and implement corrective actions as needed
• Stay current with ICD-10-CM/PCS, CPT, HCPCS, and regulatory changes
• Recommend and implement process improvements and automation tools

Medical Coding Manager – HB, PB

• Review and analyze Emergency Department clinical documentation to assign accurate ICD-10-CM, CPT, and HCPCS codes for professional and facility components
• Assign appropriate ED Evaluation & Management (E/M) levels using current medical decision-making and/or time-based guidelines
• Code ED procedures, including injections, infusions, laceration repairs, splinting, and other emergency services
• Apply modifiers, units, NCCI edits, and payer-specific billing rules to ensure compliant charge capture
• Validate documentation completeness and initiate provider queries when clarification is required
• Serve as a subject matter expert in ED-specific coding and reimbursement methodologies
• Collaborate with providers, clinical teams, CDI, and revenue cycle partners to resolve coding and documentation issues
• Abstract and enter coded data into Epic and other coding/billing systems within established turnaround times
• Monitor trends in documentation quality, coding accuracy, and denials; communicate findings to leadership
• Maintain productivity and quality benchmarks within ED single-path workflows
• Stay current on regulatory updates, coding guideline changes, and payer requirements

Certified Medical Coding Specialist – Emergency Department

• Review and analyze professional medical records, including office visits, hospital-based professional services, and outpatient encounters
• Assign accurate ICD-10-CM, CPT, and HCPCS codes
• Apply appropriate CPT modifiers, units, place of service indicators, and payer-specific billing rules
• Abstract and enter coded data into Epic and other professional billing and coding systems
• Ensure compliance with official coding guidelines, regulatory requirements, payer policies, and organizational standards
• Maintain a minimum coding accuracy rate of 95% and meet established productivity benchmarks
• Review, investigate, and resolve claim edits and coding-related errors
• Validate provider documentation and query providers for clarification or additional detail when needed
• Serve as a subject matter expert for professional coding, including E/M services, procedure coding, and modifier usage
• Collaborate with providers, clinical staff, educators, and revenue cycle teams to resolve coding and documentation issues
• Monitor and communicate coding and documentation trends impacting professional billing and compliance
• Stay current on coding updates, regulatory changes, and professional billing requirements
• Participate in audits, education, training, and continuous improvement initiatives
• Perform other duties as assigned

Certified Medical Coding Specialist – Professional Based

• Supervise daily operations of the professional (physician) coding team to ensure accurate, compliant coding and achievement of quality and productivity benchmarks
• Monitor, work, and reconcile professional coding and claim edit work queues daily to ensure workflows are current, balanced, and accurate
• Provide daily workflow management, including workload distribution and staff allocation to meet operational goals and service-level expectations
• Collaborate with Outpatient Physician Coding Educator, Director of Revenue Integrity, physician leadership, practice managers, CDI, compliance, and revenue cycle partners to ensure complete documentation and accurate CPT, ICD‑10‑CM, and modifier assignment
• Support denial prevention and resolution efforts by reviewing coding-related rejections and denials, identifying trends, and recommending corrective actions
• Create and manage coder work schedules, attendance, and assignments to ensure appropriate coverage and continuity of operations
• Facilitate onboarding of newly hired certified professional coders, including training, mentoring, skills assessments, coaching, and performance evaluations
• Provide ongoing education and development for professional coding staff related to payer policies, regulatory changes, and best practices
• Partner with EHR and IT optimization teams to remain current on system enhancements, template changes, and workflow updates impacting professional coding
• Coordinate education related to CPT, ICD‑10‑CM, HCPCS, modifier usage, and annual code set updates, including oversight of coding reference materials
• Assist in the development, implementation, and maintenance of professional coding policies, procedures, and documentation standards
• Communicate, escalate, and track provider coding and documentation issues to HIM/Coding and revenue cycle leadership as appropriate
• Perform other duties as assigned

Medical Coding Supervisor

• Review and analyze inpatient and outpatient medical records to assign accurate ICD-10-CM, ICD-10-PCS, CPT, and HCPCS codes, as applicable
• Ensure coding compliance with official guidelines, payer-specific requirements, and organizational policies
• Apply knowledge of APC and DRG assignment and understand the impact on reimbursement
• Validate clinical documentation and query providers when clarification is required
• Collaborate with Clinical Documentation Improvement, providers, and revenue cycle teams to resolve coding-related issues
• Abstract and enter coded data into Epic and other coding systems
• Maintain established productivity and accuracy standards
• Participate in coding audits, quality initiatives, and continuous improvement efforts
• Stay current with coding updates, regulatory changes, and payer policy requirements
• Protect patient confidentiality and comply with HIPAA regulations

Certified Medical Coder, Inpatient and Outpatient

Security Engineer

• Conducts Security/Safety rounds of the facility twice during shift
• Document’s findings, identifies and corrects discrepancies and hazards, and tests alarm systems
• Assists in the management of aggressive/combative patients
• Assists licensed clinical staff in application of restraints
• Monitors high-risk patients awaiting disposition in the ED
• Understands and accordingly applies Medical Center’s “Use of Force” policy
• Provides required documentation of security department incidents and activity
• Describes and produces clear, concise reports of an incident and records in a daily activity log
• Facilitates use of emergency evacuation heliport and understands policies governing use
• Uses knowledge of ground safety training as required
• Acts as first responder for Hazardous Material emergencies
• Conducts immediate assessment of situation, isolates hazard appropriately, and activates outside resources (NPD/NFR) as needed

Security Officer – Per Diem

Data Analyst

• Responsible for the coordination of projects focused on data use and reporting.
• Sets deadlines, assigns responsibilities, and monitors and summarizes progress of projects.
• Identifies and coordinates improvement opportunities, enhancements, and redesign to accomplish greater efficiency.
• Increase operational efficiency by leveraging new technologies through automation.
• Develop and maintain working relationships to enhance ability to meet goals and users’ objectives.
• Recommend appropriate maintenance strategies to ensure uninterrupted systems usage.
• Harmonize codes across datasets where possible to improve designs in report collection.
• Build and monitor data quality rules for use in data warehouses and other data assets to increase amount of data usable for reporting.
• Apply database system rules in order to import non-conformed data for new use.
• Assist business owners with a root cause analysis process for issues discovered during data quality assessment.
• Develop web application presentation and security for web-based data entry and self-service reporting.
• Participate in on-call rotation, as required, for ITS support of computing users.

Data Analyst III – IT Reporting

Operations

• Implementing, developing, and maintaining the Epic system and associated third-party systems
• Work at various levels, from entry-level (I) to expert (IV), with increasing responsibilities and independence
• Provide on-call support, interact with clients, and ensure compliance with software lifecycle standards
• Gain deeper knowledge of the Epic platform, mentor junior analysts, and lead projects to improve patient safety and quality initiatives
• Independently research and configure systems to improve processes, add efficiencies, and promote patient safety
• Collaborate with stakeholders, end users, and colleagues, ensuring effective communication and support

Epic Applications Analyst – Professional Billing, Rev Cycle Application, Epic Operations

Counselor

• Responsible for greeting patients.
• Answer telephone calls and provide general information.
• Check-in and check-out patients.
• Schedule appointments and enter and track referrals.
• Scan and index documentation.