Job Description
- Job Description:
- Serves in a consulting role by evaluating the work of client’s coders in their assignment of ICD-10, CPT and/or HCPCS codes to hospital inpatient, outpatient and/or physician practice encounters.
- Performs concurrent or retrospective reviews to inventory code assignments and report the data to the client.
- Develops and delivers educational content to clients related to audit findings.
- Perform complex, concurrent and/or retrospective analysis of medical record documentation to validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant.
- Analyze findings and identify potential root causes of produced errors.
- Prepare summary reports of findings to clients, supplying specific references supporting findings contained within the provided audit report.
- Provides second-level review of processes to ensure compliance with legal and procedural policies and to ensure appropriate code assignments.
- Research, analyze, and respond to inquiries regarding compliance, coding, and denials.
- Functions as a member of the Consulting Services Team which develop and provide coding education to clients.
- Conduct Audits as assigned meeting the productivity standards as set by record type for each audit.
- Prepare deliverables for the client as required for the audit scope while meeting timelines.
- Conduct independent QA of their assigned audit results prior to final submission for QA review and approval.
- Report work time and work products in a timely and accurate manner.
- Interact with clients in a professional manner that, always, exhibits excellent relationships, work performance and communication skill so as to support the company and its business interests.
- Requirements:
- Active certification through AAPC/AHIMA
- 5+ yrs auditing and coding - profee
- Recognized credential from AHIMA or AAPC
- Experience with telecommuting and electronic medical record systems required
- Strong analytical skills
- Proficient computer skills, specifically Microsoft Office products
- Strong team player
- 5+ years’ experience coding and/or auditing in an acute care facility or clinic, of patient types listed in the Job Summary of this document, or other relevant experience.
- Benefits:
- We seek to create an environment that cultivates your professional development and personal growth, as we believe your success is our success.
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