Coding Quality Reviewer/Audit

Job Details

Coding Quality Reviewer/Audit

Job Description

The Revenue Cycle Coding Quality Reviewer/Audit is a Health Information Management Professional responsible for ICD-10 coding, POA and DRG assignment and abstracting of inpatient episodes of care according to ICD-10-CM/PCS Coding Rules and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution.

Essential Functions:

• Interacts with co-workers, visitors, and other staff consistent with the values of Jefferson
• Performs ICD-10-CM /CPT coding and data abstraction within minimum established accuracy and productivity rates.
• Attends mandatory staff education sessions and department meetings. Refers coding issues to supervisor in a timely manner for determination and guideline development. Complete and submit a weekly productivity log.

Education - Preferred

• Bachelor's Degree in Health Information Management, Nursing, Business Administration, Health Administration or related field preferred.

Experience - Required

• 3 years experience coding inpatient acute care medical records.

Knowledge, Skills and Abilities - Required

• Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems, ability to apply this knowledge appropriately to diverse situations.
• Knowledge of techniques and tools that promote effective analysis and the ability to determine the root cause of organizational problems and create alternative solutions that resolve the problems in the best interest of the business.
• Understanding of effective communication concepts, tools and techniques, ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors.
• Knowledge of and ability to read, interpret and draw accurate conclusions from financial and numerical material.
• Knowledge of coaching concepts and methods, ability to encourage, motivate, and guide individuals or teams in learning and improving effectiveness.
• Understanding of the value of self-motivation and initiative, ability and willingness to seek out work and the drive to accomplish goals.
• Knowledge of the techniques and the ability to work with a variety of individuals and groups in a constructive and collaborative manner.
• Knowledge of interviewing concepts and techniques, ability to conduct a conversation with another person to gather required information.
• Knowledge of the major responsibilities, accountabilities, and overall organization of the customer support function or department, ability to properly support customer inquiries and bring problems to a timely resolution.
• Knowledge of account management practices, tasks, and tools and ability to provide services and support to key clients.

Licenses and Certifications - Required

• RHIA - Registered Health Information Administrator - American Health Information Management Association or
• RHIT - Registered Health Information Technician - American Health Information Management Association or
• CPC - Certified Professional Coder - American Academy of Professional Coders or
• CCS - Certified Coding Specialist - American Health Information Management Association

Work Shift

Workday Day (United States of America)

Worker Sub Type

Regular

Employee Entity

Thomas Jefferson University Hospitals, Inc.

Primary Location Address

1401 Old York Road, Abington, Pennsylvania, United States of America

Nationally ranked, Jefferson, which is principally located in the greater Philadelphia region, Lehigh Valley and Northeastern Pennsylvania and southern New Jersey, is reimagining health care and higher education to create unparalleled value. Jefferson is more than 65,000 people strong, dedicated to providing the highest-quality, compassionate clinical care for patients; making our communities healthier and stronger; preparing tomorrow's professional leaders for 21st-century careers; and creating new knowledge through basic/programmatic, clinical and applied research. Thomas Jefferson University, home of Sidney Kimmel Medical College, Jefferson College of Nursing, and the Kanbar College of Design, Engineering and Commerce, dates back to 1824 and today comprises 10 colleges and three schools offering 200+ undergraduate and graduate programs to more than 8,300 students. Jefferson Health, nationally ranked as one of the top 15 not-for-profit health care systems in the country and the largest provider in the Philadelphia and Lehigh Valley areas, serves patients through millions of encounters each year at 32 hospitals campuses and more than 700 outpatient and urgent care locations throughout the region. Jefferson Health Plans is a not-for-profit managed health care organization providing a broad range of health coverage options in Pennsylvania and New Jersey for more than 35 years.

Jefferson is committed to providing equal educational and employment opportunities for all persons without regard to age, race, color, religion, creed, sexual orientation, gender, gender identity, marital status, pregnancy, national origin, ancestry, citizenship, military status, veteran status, handicap or disability or any other protected group or status.

Benefits

Jefferson offers a comprehensive package of benefits for full-time and part-time colleagues, including medical (including prescription), supplemental insurance, dental, vision, life and AD&D insurance, short- and long-term disability, flexible spending accounts, retirement plans, tuition assistance, as well as voluntary benefits, which provide colleagues with access to group rates on insurance and discounts. Colleagues have access to tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service. All colleagues, including those who work less than part-time (including per diem colleagues, adjunct faculty, and Jeff Temps), have access to medical (including prescription) insurance.

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