Job Description
Conducts coding audits to optimize diagnosis related groupings. Develops and implements coding instruction classes. Prepares coding guidelines; implements coding changes.
Job Responsibility
- Demonstrates comprehensive knowledge of coding guidelines and principals; performs coding audits for optimization.
- Demonstrates effective skills in validation; provides ad-hoc education to the coding staff.
- Able to communicate effectively with coders and CDI staff.
- Demonstrates knowledge of coding policy and procedures.
- Maintains knowledge of all current Federal and State coding guidelines; remains up-to-date on system literature from all agencies.
- Monitors and evaluates case mix index; demonstrates comprehensive knowledge of case mix indexing.
- Reviews potential reassignments; demonstrates accurate and timely review of all reassignments.
- Implements coding changes; demonstrates ability to relate coding changes accurately and efficiently to staff.
- Operates under general guidance and work assignments are varied and require interpretation and independent decisions on course of action.
- Work assignments are varied and require interpretation and independent decisions on course of action.
- Understands department, division, corporate strategy and operating objectives, including impacts.
- Normally receives general instructions on routine work, detailed instructions on new projects or assignments.
- Majority of contact is within own function, area, or department and may be customer service oriented.
- Performs related duties as required.
- All responsibilities noted here are considered essential functions of the job under the Americans with Disabilities Act. Duties not mentioned here, but considered related are not essential functions.
Job Qualification
- Bachelors Degree required, or equivalent combination of education and related experience.
- Certified Professional Coder (CPC) OR Certified Coding Specialist (CCS) required.
- 1-3 years of relevant experience required.
Preferred Qualification
- Experience with edits and denials preferred
- Experience with any of the following specialties: Neurology, Urology, ENT, Orthopedics, Autoimmune
- Additional Salary Detail
The salary range and/or hourly rate listed is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team members base salary and/or rate, several factors may be considered as applicable (e.g., location, specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity).