Coding Quality Assurance Specialist III

7 days ago

Houston, Texas, United States Texas Children's Medical Center Full time
Description

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 DRG Hospital Inpatient 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 perform only certain of the following Responsibility depending on their work assignment.

Think you've got what it takes?

Job Duties & Responsibilities

•    Assigns ICD-10-CM, ICD-10-PCS, and DRG codes to hospital inpatient records.

•    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 DRG codes for diagnosis and procedures.

•    Sequences diagnosis and procedures to generate appropriate billing.

•    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.

•    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 concurrent coding for inpatient records.

Skills & Requirements

•    Required High School Diploma or equivalent

•    Requires one of the following Licenses/Certifications
o    CCA - Certified Coding Associate by the American Academy of Professional Coders (AAPC)
o    CCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)
o    CCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA) 
o    CIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC) 
o    COC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC) 
o    CPC - Cert-Cert Professional Coder by the by the American Academy of Professional Coders (AAPC) 
o    CRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC)
o    RHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA) 
o    RHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)

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

Previous Hospital Inpatient coding of all specialties HIGHLY DESIRED
 

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