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 codes to inpatient records for purposes of billing, research, and providing information to government and regulatory agencies.
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
Experience with Inpatient Hospital coding highly desired. Strongly desire RHIA/RHIT & CCS certifications.