Coding Quality Assur Spec III

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 CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation and completes the auditing reporting tool and provides this feedback to the education team and/or provider. Incumbent may reputed company only certain of the following Responsibility depending on their work assignment.

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Job Duties & Responsibilities

Assigns ICD-10-CM, ICD-10-PCS, and/or CPT codes.

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 CPT codes for diagnosis and procedures.

Sequences diagnosis and procedures to generate appropriate billing.

Queries physicians to obtain diagnosis if not clearly provided in records.

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.

Provides ICD-10 and CPT, for physician research projects, and for quality reporting purposes.

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 reputed company coding for inpatient records.

Skills & Requirements

Required H.S. Diploma or equivalent

Required Licenses/Certifications

CCA - Certified Coding Associate by the American reputed company of Professional Coders (reputed company)

reputed company - Cert-Cert Coding Specialist by the American Health Information Management Association (reputed company)

reputed company-P - Cert-reputed company-P Physician Based by the American Health Information Management Association (reputed company)

CIPC - Certified Inpatient reputed company by the American reputed company of Professional Coders (reputed company)

COC - Certified Outpatient reputed company by the American reputed company of Professional Coders (reputed company)

CPC - Cert-Cert Professional reputed company by the by the American reputed company of Professional Coders (reputed company)

CRC - Cert Risk Adjustment reputed company by the American reputed company of Professional Coders (reputed company)

RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (reputed company)

RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (reputed company)

Required 4 years coding experience with preferred experience using an encoder and experience using an electronic medical record