Location: Fredericksburg, Virginia
Contact: Jobs@BillingCodingOnline.com
Job Summary: Responsible to review inpatient and/or outpatient records for quality and comprehensive coding, under the supervision of the HIM Coding Manager. Educate and train all coding and CDMP associates regarding coding regulations and compliance.
Essential Functions & Responsibilities (include percentage of time spent on each):
Establish, implement, and maintain a review process for compliance, including a formal review (audit) process.
Review inpatient and/or outpatient coded records for quality and comprehensive coding to ensure compliance with ICD-9-CM, CPT4, and HCPCS level II coding conventions.
Standardizing coding and abstracting documented coding policies and procedures.
Analyzes and interprets coding data to identify problems or trends.
Ensures compliance with coding standards and government regulations. Maintains knowledge of coding and billing requirements and regulatory changes.
Acts as a resource to the coding and management associates.
Assists in the ongoing development and maintenance of a coding/abstracting policies, procedure and practice standards.
Audits, reports and documents all results to the Coder Manager
Provides, initiates, and supports training/education for the coding and CDMP associates regarding coding regulations and compliance.
Supports the education and compliance for CDMP post query, re-coding and re-billing process.
Actively communicates and provides timely feedback to all coding and nursing Associates.
Qualifications:
Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT) required.
Coding Certification – CCS Preferred
Experience as an educator/trainer required.
Five plus years of professional level experience, three or more in coding and/or reimbursement.
Analytical ability to gather and interpret data, to evaluate reports and track progress and to determine methods for ensuring coding compliance.
In-depth technical knowledge of ICD-9-CM, CPT-4 coding conventions, DRG and APC assignment, medical terminology and anatomy.
Ability to work independently with minimal supervision.
Computer skills for organizing and displaying data.
Common Questions:
Is this a newly developed position or vacancy being filled?
This position was created beginning 2008. This is vacancy being filled.
Current maturity status of the audit program?
As this position is only a year old, we definitely have some room to grow in maturity.
Hospital Administrative emphasis and support level currently being placed on
the findings of audits?
Definitely in favor be proactive with regards to audit findings.
Teaching or nonteaching facility? Trauma level?
Non-teaching facility. We are a trauma II designation and are celebrating our one year anniversary Sept 1st.
# of beds/billing providers per facility?
Hospital based or non-hospital based clinics?
Hospital based clinics
Electronic or paper/hybrid medical record?
Hybrid electronic record – electronic/scanned documents using Soarian & SoftMed
Shared EMR and billing software between facilities?
Yes
Types of audits? Frequency? Reason for audit (internal use; education;
etc)? Data outcome will be used for???????
Requested audit internal, as well as audit on individual coders for education purposes.
Are there current audit policies in place?
Yes
Are there any managerial/supervisory responsibilities associated with the
position?
No
Last JCAHO? Any type one findings?
No
Has RAC been to any of the facilities? If not, when is RAC scheduled?
No
