Job Summary:
To perform diversified coding and auditing of coded medical records related to ICD-10-CM, CPT, and Evaluation Management (EM) coding. Train and educate coding staff on department-specific procedures, educates staff regarding coding guideline changes, as well as payer requirements when processes are affected by payer requirements. Promotes teamwork and acts as a liaison with coders and other departments such as Central Billing Office, Practice Managers, Compliance, etc. Development of new procedures related to coding and implementation of systems that impact coding. Research coding guidelines that help with understanding claim edits and denials by payers for coding reasons. Serves as backup for coding and abstracting of all types of records as needed. Participates with physician education regarding documentation needs that impact coding processes.
Qualifications:
Bachelor degree with 2 years experience related to coding/auditing; Associate degree with 3-4 years experience coding/auditing experience; or high school diploma with 7+ years of coding/auditing experience. Requires at least one of the following certifications: RHIA, RHIT, CCS, CCS-P, CCS-H, CPC, or CPMA.
Knowledge Requirements:
Knowledge of coding classification systems, including ICD-10-CM, CPT, EM level of service, and HCPCS nomenclature, and the rules, guidelines, and coding conventions established by the American Medical Association, the Center for Medicare and Medicaid Services (CMS), and the American Hospital Association as the leading organizations that govern coding rules and reporting. Epic experience preferred. Familiarity with medical record documentation requirements and regulatory requirements for record content a plus for this job. Knowledge of performance improvement, teaching/learning principles helpful.
Required Skills:
Equal Opportunity Employer
EOE AA M/F/Vet/Disability