Coding Quality Review Specialist

23 hours ago

Remote, Oregon, United States MedStar Health Full time $56,000 - $110,000 per year

About this Job:

General Summary of Position

Performs coding quality reviews on medical records

Primary Duties and Responsibilities

  • Contributes to the achievement of established department goals and objectives and adheres to department policies procedures quality standards and safety standards. Complies with governmental and accreditation regulations.
  • Assists with the development of system-specific coding guidelines as needed and participates in Quality review team meetings.
  • Having knowledge of coding compliance plan directs efforts to achieving plan by focusing on areas identified through coding reviews or targeted by management for improvement.
  • Helps select areas for focused quality reviews.
  • Maintains continuing education. Maintains credentials for required job classification.
  • Meets established Quality Accuracy and Productivity standards as defined by policies.
  • Provides/identifies trends to provide feedback to appropriate sources. Identifies and assists in areas to provide additional training/education under the direction of Manager.
  • Responsible for retrospective and concurrent reviews on coding staff.
  • Reviews analyzes and interprets medical record documentation to identify diagnoses and procedures. Assigns correct ICD and/or CPT diagnostic and procedural codes using standard guidelines and automated encoding software. Assigns the appropriate DRG.
  • Works closely with the Coding Quality Review team and outpatient coding staff to identify areas for improvement and problematic cases.
  • Participates in multi-disciplinary quality and service improvement teams

Minimal Qualifications

Education

  • High School Diploma or GED required
  • Bachelor's degree with successful completion of medical terminology, anatomy, physiology and coding courses in ICD-10-CM and CPT-4. preferred

Experience

  • 2 years outpatient coding experience preferably in an acute care setting required and
  • 1-2 years Auditing experience preferred

Licenses and Certifications

  • AHIMA (American Health Information Management Association) CCS-P (Certified Coding Specialist- Physician) required or CCS (Certified Coding Specialist) or AAPC (American Academy of Professional Coders) - COC (Certified Outpatient Coder) required
  • Certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred

Knowledge Skills and Abilities

  • Excellent verbal and written communication skills.
  • Excellent interpersonal skills. Good public speaker and presenter.
  • Basic computer skills preferred.

This position has a hiring range of : USD $ USD $56.39 /Hr.

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