Lead Coding Quality Analyst

Immediate need for Lead Coding Quality Analyst!!!

FULLY REMOTE

I have a Coding Quality Validation Specialist Position with one of the top Hospitals in the Country! This is a large Teaching/Trauma 1 Hospital that is ranked in the top 25 Hospitals in the country! I'd love to help you further your career by joining a team like this.

Call David at 513-206-9881

and/or send resumes to: dlutz@acuitymri.com

Lead Clinical Coder/Auditor teammates are responsible for auditing and training the advanced inpatient coding teams. Through the audit process, the Leads identify opportunities for education for Physicians and/or Coders, create educational materials and share findings with physicians and physician leaders. Leads are also point on some very specific initiatives, e.g., 30-day mortality rates, applying LCD/NCD, medical necessity, collaborating with CDI, Nurse Navigators and Physicians to achieve whole record integrity/Documentation Excellence.

Being part of the coding team is accompanied by regular education, free CEUs, paid dues for one credential and an incredible team environment.

Only experienced coding professionals who are interested in being a Lead, and part of the new era advanced clinical coding/auditing should apply.


Essential Functions

• Trains and orients new team members according to specific guidelines while utilizing the facility encoder, HBOC and EMR.
• Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
• Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
• Assists Coding leadership with continuing education for all coding personnel.
• Facilitates peer review and training for Coding personnel.
• Prepares and performs coding audits to ensure consistent, high quality coding, MS-DRG, APC, Present on Admission, Patient Safety Indicators, Hospital Acquired Conditions and Core Measures.
• Resolves error reports associated with billing process, identifies and reports error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors.
• Assists with rebilling accounts when necessary.
• Coordinates flow of information between coding and other departments, which include Medical Records, Medical Audit, Patient Accounts, Performance Improvement, Corporate Compliance, RAC, DA2, Clinical Care Management and other coding reviews as requested.
• Reviews inpatient and/or outpatient medical records to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes and POA indicator for all diagnosis codes.