Coding Quality Auditor-remote
- Job ID 1905014817
- Date posted 07/01/2019
- Facility Conifer Health Solutions
As a part of the Tenet and Catholic Health Initiatives family, Conifer Health brings 30 years of healthcare industry expertise to clients in more than 135 local regions nationwide. We help our clients strengthen their financial and clinical performance, serve their communities and succeed at the business of healthcare. Conifer Health helps organizations transition from volume to value-based care, enhance the consumer and patient healthcare experience and improve quality, cost and access to healthcare. Are you ready to be part of our solutions? Welcome to the company that gives you the resources and incentives to redefine healthcare services, with a competitive benefits package and leadership to take your career to the next step!
Conducts data quality audits of inpatient admissions and outpatient encounters to validate coding assignment is in compliance with the official coding guidelines as supported by clinical documentation in health record. Validates abstracted data elements that are integral to appropriate payment methodology.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
- Consulting: Consults facility leaders and staff on best practices, methodology, and tools for accurately coding.
- Chart Analysis IP, OP Coding Data auditing and validation: Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Adheres to Standards of Ethical Coding (AHIMA). Reviews medical records for the determination of accurate assignment of all documented diagnoses and procedures. Reviews claim to validate abstracted data including but limited to discharge disposition which impacts facility reimbursement and/or MS-DRG assignment. Adheres to Standards of Ethical Coding (AHIMA).
- Reviews medical records to determine accurate required abstracting elements (facility/client/payer specific elements) including appropriate discharge disposition
- IP, OP Coding: Reviews medical records for the determination of accurate assignment of all documented ICD-10-CM codes for diagnoses and procedures.
- Abstracts accurate required data elements (facility/client specific elements) including appropriate discharge disposition.
- Coding: Uses discretion and specialized coding training and experience to accurately assign ICD-10, CPT-4 codes to patient medical records.
- Abstracting: Reviews medical records to determine accurate required abstracting elements (client specific elements) including appropriate discharge disposition.
- Coding Quality: Demonstrates ability to achieve accuracy and consistency in the selection of principal and secondary diagnoses (including MCC & CC) and procedures. Demonstrates ability to achieve accuracy and consistency in abstracting elements defined by SOW.
- CDI: Identifies and communicates documentation improvement opportunities and coding issues (lacking documentation, physician queries, etc.) to appropriate personnel for follow-up and resolution.
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Profee experience
- Ability to consistently code at 95% accuracy and quality while maintaining client specified production standards
- Must successfully pass coding test
- Knowledge of medical terminology, ICD-10-CM and CPT-4 codes
- Must be detail oriented and have the ability to work independently
- Computer knowledge of MS Office
- Must display excellent interpersonal skills
- The coder should demonstrate initiative and discipline in time management and assignment completion
- The coder must be able to work in a virtual setting under minimal supervision
- Intermediate knowledge of disease pathophysiology and drug utilization
- Intermediate knowledge of MSDRG classification and reimbursement structures
- Intermediate knowledge of APC, OCE, NCCI classification and reimbursement structures
EDUCATION / EXPERIENCE
- Associates degree in relevant field preferred or combination of equivalent of education and experience
- Three years coding experience including hospital and consulting background
CERTIFICATES, LICENSES, REGISTRATIONS
- AHIMA Credentials, and or AAPC
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Duties may require bending, twisting and lifting of materials up to 25 lbs.
- Duties may require driving an automobile to off- site locations.
- Duties may require travel via, plane, care, train, bus, and taxi-cab.
- Ability to sit for extended periods of time.
- Must be able to efficiently use computer keyboard and mouse to perform coding assignments.
The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
- Capacity to work independently in a virtual office setting or at hospital setting if required to travel for assignment.
- Regular travel may be required