About this Job:
General Summary of Position
Performs coding quality reviews on inpatient medical records
Primary Duties and Responsibilities
- Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
- Assists with the development of system-specific coding guidelines as needed and participates in Quality review team meetings.
- Having knowledge of coding compliance plan directs efforts to achieving plan by focusing on areas identified through coding reviews or targeted by management for improvement.
- Helps select areas for focused quality reviews.
- Maintains continuing education. Maintains credentials for required job classification.
- Meets established Quality Accuracy and Productivity standards as defined by policies.
- Provides/identifies trends to provide feedback to appropriate sources. Identifies and assists in areas to provide additional training/education under the direction of Manager.
- Responsible for retrospective and concurrent reviews on coding staff.
- Reviews analyzes and interprets medical record documentation to identify diagnoses and procedures. Assigns correct ICD and/or CPT diagnostic and procedural codes using standard guidelines and automated encoding software. Assigns the appropriate DRG.
- Works closely with the Coding Quality Review team and outpatient coding staff to identify areas for improvement and problematic cases.
- Participates in multi-disciplinary quality and service improvement teams
Minimal Qualifications
Education
- High School Diploma or GED required
- Bachelor's degree with successful completion of medical terminology anatomy physiology and coding courses in ICD-10-CM and CPT-4. preferred
Experience
- 2 years inpatient coding experience preferably in an acute care setting required
- 1-2 years Auditing experience preferred
Licenses and Certifications
- AHIMA (American Health Information Management Association) CCS-P (Certified Coding Specialist- Physician) or CCS (Certified Coding Specialist) or AAPC (American Academy of Professional Coders) - COC (Certified Outpatient Coder) required
- Certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred
Knowledge Skills and Abilities
- Excellent verbal and written communication skills.
- Excellent interpersonal skills Good public speaker and presenter.
- Basic computer skills preferred.
This position has a hiring range of : USD $30.67 - USD $54.48 /Hr.