This is a fully remote position, open to applicants in California.

📋 Description

• Operate under the general supervision of the Coding Supervisor.

• Review encounters within prebill or retrospective workflows to confirm coding profiles.

• Assess coding compliance in accordance with internal, AHA, AMA, local, state, and federal coding standards.

• Conduct quality coding reviews or audits while meeting departmental productivity and accuracy benchmarks.

• Aid in processing rebills and coding corrections following audits.

• Deliver written summary reports detailing findings.

• Organize and lead individual or small-group feedback sessions.

• Collaborate with Coding Operations, CDI, PRM, CRI, and other relevant stakeholders.

• Assist neighboring departments with production coding during staff shortages.

• Enhance data quality for reporting and research, ensuring accurate billing and reimbursement.

• Conduct educational sessions, facilitate roundtable discussions, contribute to coding newsletters, and perform basic trend/data reviews.

• Analyze codes through data reports and audit findings, producing actionable recommendations.

• Undertake additional tasks as assigned by the Coding Supervisor.

⛳️ Requirements

• High School Diploma or GED is mandatory.

• An Associate degree/college diploma or a Bachelor's degree in health information management is preferred.

• A minimum of 3 years of experience in Coding Audits is required.

• Proficient auditing skills that encompass coding and billing accuracy of coding staff.

• At least one of the following certifications is needed upon hire: Certified Coding Specialist - Physician, Certified Coding Specialist, Certified Professional Coder, Registered Health Information Administrator, or Registered Health Information Technician.

• Familiarity with relevant coding sets and encounter data collection points.

• Understanding of Internal Coding policies, procedures, and handbook as well as AHA and AMA coding references, along with local, state, and federal coding guidelines.