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Coding Quality Specialist II

2 months ago

Dallas, Texas, United States Children's Health Full time
Job Title & Specialty Area:

Coding Quality Specialist II

Department:

Coding and CDI

Location:

Dallas, Texas

Shift:

Monday - Friday

Job Type:

Remote in Texas only

Why Children's Health?

At Children's Health, our mission is to Make Life Better for Children, and we recognize that their health plays a crucial role in achieving this goal.

Through our cutting-edge treatments and affiliation with UT Southwestern, we strive to deliver an extraordinary patient and family experience, ensuring that every moment, big or small, contributes to their overall well-being.

Our dedication to promoting children's health extends beyond our organization and encompasses the broader community.

Summary:

The Coding Quality Specialist performs medical record coding and documentation reviews for emergency department, radiology, ambulatory surgery, observation, other outpatient and professional encounters.

They conduct coding education based on review findings, act as the coding and documentation resource for coding staff, leadership and CHST providers, and assist in developing action plans in response to identified coding and documentation issues.

They also provide ongoing training to coders, leadership, providers and other organizational staff.

Responsibilities:
  • Perform emergency department, radiology, ambulatory surgery, observation, other outpatient and professional coding/billing reviews and any follow up reviews to assure appropriate and compliant coding and billing is maintained.
  • Assist in developing and implementing appropriate work plan if necessary.
  • Perform reviews based on the annual coding risk assessment.
  • Perform supplementary coding/billing reviews as requested.
  • Knowledgeable in coding and billing for both outpatient technical and clinician professional services.
Coding Education:
  • Perform initial coding and documentation training and orientation for new emergency department, radiology, ambulatory surgery, observation, other outpatient, professional coders and CHST providers.
  • Provide coding training and coaching based on review results.
  • Conduct coding and documentation training as requested by management, providers, or service line staff.
  • Act as coding and documentation resource for management, providers, and service line staff.
Policy and Procedure Development and Support:
  • Assist in developing and revising policies and procedures for emergency department, radiology, ambulatory surgery, observation, other outpatient, and professional coding, documentation, and billing to assure compliance with state and federal coding, billing, and documentation regulatory requirements.
  • Participate on committees and/or work groups as assigned.
  • Requires ability to research requirements of and act upon billing requirements of multiple payers.
How You'll Be Successful:

To be successful in this role, you will need to have at least 3 years of job-related experience, including at least 2 years of coding review and coding experience in a hospital setting.

You will also need to have a high school diploma or equivalent, and a two-year associate's degree or equivalent experience is preferred.

Additionally, you will need to have a Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist - Professional (CCS-P) or Certified Outpatient Coder (COC) certification within 180 days of hire.

Clinical Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) certification is also preferred.

A Place Where You Belong:

We put our people first. We welcome, value, and respect the beliefs, identities and experiences of our patients and colleagues.

We are committed to delivering culturally effective care, creating meaningful partnerships in the communities we serve, and equipping and developing our team members to make Children's Health a place where everyone can contribute.

Holistic Benefits - How We'll Care for You:
  • Employee portion of medical plan premiums are covered after 3 years.
  • 4%-10% employee savings plan match based on tenure.
  • Paid Parental Leave (up to 12 weeks).
  • Caregiver Leave.
  • Adoption and surrogacy reimbursement.

As an equal opportunity employer, Children's Health does not discriminate against employees or applicants because of race, color, religion, sex, gender identity and expression, sexual orientation, age, national origin, veteran or military status, disability, or genetic information or any other Federal or State legally-protected status or class.