Responsible for auditing coded inpatient or outpatient medical records applying ICD-10 CM/PCS and/or CPT-4. Provides training and education based on audit results and any regulatory changes that effect Federal, State and American Health Information Management Association (AHIMA) guidelines.
Requirements
- Maintains thorough knowledge of ICD-10CM/PCS, and CPT coding principles and guidelines;
- Conducts and reports on electronic medical record audits to verify ICD-10CM/PCS, CPT and APC, MSDRG, and APRDRG coding and grouping accuracy;
- Serves as an expert resource for all coding staff;
- Assists with developing specific departmental goals, standards, and objectives which directly support the strategic plan and vision of the organization;
- Reviews and responds to all external coding denial audits using ICD-10CM/PCS, CPT and APC, MSDRG, and APRDRG audits;
- Coordinates, develops, and implements coder intern education and training;
- Maintains strict adherence to patient confidentiality according to MHS standards and regulatory requirements;
- Holds educational sessions for coding specialists, documentation specialists, and physicians;
- Acts as a liaison for electronic physician query process;
- Utilizes coding audit results to tailor education to increase coding accuracy;
- Assists the coding staff to format compliant queries and assesses for compliance with AHIMA query standards;
- Reports results of coding and query compliance audits to management;
Benefits
- Generous Paid Time Off
- 401k Matching
- Retirement Plan
- Visa Sponsorship
- Four Day Work Week
- Generous Parental Leave
- Tuition Reimbursement
- Relocation Assistance