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

📋 Description

• Evaluate encounters in prebill or retrospective workflows to confirm coding profiles.

• Analyze relevant code sets, abstracted data elements, overlooked query opportunities, and associated encounter data collection points.

• Conduct quality coding reviews and audits in accordance with departmental productivity and accuracy standards.

• Assist in processing rebills following coding audit modifications and coding corrections from the billing department.

• Generate written summary reports detailing findings.

• Organize and facilitate one-on-one or small group feedback sessions.

• Maintain communication with Coding Operations, CDI, PRM, CRI, and other internal and external collaborators.

• Support peer departments with production coding during periods of staff shortages.

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

• Conduct educational sessions, lead roundtable discussions, contribute to the coding newsletter, and perform basic trend or data evaluations.

• Assess codes through data reports and trending opportunities, validate findings through audits, and develop action-plan recommendations.

• Undertake additional tasks, such as data quality reports, as directed by the Coding Supervisor.

⛳️ Requirements

• High School Diploma/GED is mandatory.

• An associate degree/college diploma or bachelor's degree in health information management is preferred.

• A minimum of 3 years of Coding Audit experience with auditing skills relevant to coding/billing accuracy of coding staff is required.

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

• Familiarity with applicable coding guidelines, including internal coding policies and procedures, AHA and AMA coding references, and local, state, and federal coding regulations.