We're looking for a Coding Quality Assurance Specialist III, someone who's ready to grow with our company.
In this position you will assign and audit the accuracy of the ICD-10-CM and PCS codes to inpatient records for purposes of billing, research, and providing information to government and regulatory agencies.
Think you've got what it takes?
Job Duties & Responsibilities * Assigns ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records.
* Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes.
* Communicates with and provides feedback to the education team and/or providers.
* Reviews patient charges to determine necessary coding to complete the account.
* Identifies principle and secondary diagnoses and procedure codes from the electronic medical record.
* Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and DRG codes for diagnosis and procedures.
* Sequences diagnosis and procedures to generate appropriate billing.
* Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials). * Assists other coders in resolving coding problems.
* Completes abstracts for records as appropriate.
* Assists in correction of problem accounts.
* Reviews charts for completeness.
* Participates in education and maintains certification.
* Assists in auditing records.
* Maintains concurrent coding for inpatient records.
Skills & Requirements * Required High School Diploma or equivalent * Requires one of the following Licenses/Certifications o CCA - Certified Coding Associate by the American Academy of Professional Coders (AAPC) o CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA) o CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA) o CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC) o COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC) o CPC - Cert-Cert Professional Coder by the by the American Academy of Professional Coders (AAPC) o CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC) o RHIA - Cert-Reg Health Inform.
Admins by the American Health Information Management Association (AHIMA) o RHIT - Cert-Reg Health Inform.
TECH by the American Health Information Management Association (AHIMA) * Required 4 years coding experience with preferred experience using an encoder and experience using an electronic medical record Experience with Inpatient Hospital coding highly desired.
Strongly desired RHIT/RHIA & CCS certifications preferred.