Coding Quality Assurance Specialist III

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 DRG Hospital Inpatient records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation and completes the auditing reporting tool and provides this feedback to the education team and/or provider.

Incumbent may perform only certain of the following Responsibility depending on their work assignment.

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

Previous Hospital Inpatient coding of all specialties HIGHLY DESIRED