Job Description
About the position
The primary purpose of this position is to impart continuous education to Coding Staff. Additionally, this individual will be responsible for complex audits of clinically coded data to assess coding quality for accuracy, completeness, and consistency. This individual will serve as an expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System. Responsible for independently reviewing coded data quality through ongoing analysis and evaluation of outpatient or inpatient records.
Performs concurrent audits on accuracy of APC, ASC or MS-DRGs as well as on quality of medical record documentation needed for accurate coding. Prepare reports, and performs constant tracking and trending of audit results as well as prepare presentations for Coding Staff education. Works with HIM coding management in preparing education and training for coders, clinical department and/or physicians for documentation improvement on a monthly, quarterly and on an as needed basis. Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement.
Responsibilities • Impart continuous education to Coding Staff. • Conduct complex audits of clinically coded data for accuracy, completeness, and consistency. • Serve as an expert in Outpatient Prospective Payment System or Inpatient Prospective Payment System. • Independently review coded data quality through ongoing analysis and evaluation of outpatient or inpatient records. • Perform concurrent audits on accuracy of APC, ASC or MS-DRGs and quality of medical record documentation. • Prepare reports and track and trend audit results.
• Prepare presentations for Coding Staff education. • Collaborate with HIM coding management to prepare education and training for coders, clinical departments, and/or physicians for documentation improvement. • Create consistency and efficiency in outpatient or inpatient claims processing and data collection to optimize APC, ASC or DRG reimbursement. Requirements • High School diploma, Certification, GED, Training, or Experience. • AHIMA Certified Coding Specialist certification. • AHIMA Registered Health Information Technician certification.
• Proficient in ICD10CM/PCS, CPT4, and HCPCS coding conventions and guidelines, encoder, and National and Local Coverage Determinations. • Proficient in MS Word, Excel, and PowerPoint. Nice-to-haves • Bachelor's Degree in Health Information Management or equivalent preferred. • AHIMA approved ICD10CM/PCS trainer preferred. • CCS or RHIT certification required. Benefits • Estimated pay range of $30.74 - $39.96 per hour depending on experience. Apply tot his job