Steward Healthcare.
- Richardson, TX
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Long-term. -
Full-time.
Performs inpatient coding quality audits to confirm code project is supported by scientific documents in the medical record. Extremely skilled in the appropriate project of ICD-10- CM and PCS codes.
SECRET DUTIES:
- Carries out coding audits of a wide range of complicated inpatient records to verify the ICD-10- CM, PCS codes, MS-DRG and/or APR DRG projects.
- Supplies composed, detailed reasoning and supporting proof for suggestions on audit findings.
- Provides instructional feedback to coding personnel concerning audit findings.
- Offers assistance to coding personnel and management in determining and fixing coding concerns.
- Recognizes paperwork enhancement chances that affect coding precision.
- Starts doctor questions for explanation of documents in the medical record to attain precise code task.
- Teams up with the scientific paperwork enhancement group for disputes in between code tasks.
- Evaluations and looks into billing edits.
- Helps with DRG rejections from payers consisting of looking into and composing appeal letters.
- Capability to translate Medicare and NCCI standards, National and Regional Protection Decisions to support coding compliance.
- Preserves a minimum of 95% precision on all coding audits.
- Keeps efficiency requirement of around 20 inpatient coding evaluations daily.
- Carries out other responsibilities as appointed consisting of training/mentoring of brand-new personnel and carrying out research study associated to unique jobs
REQUIRED UNDERSTANDING & ABILITIES:
- Comprehensive understanding of coding standards, Coding Centers and proper coding recommendations in addition to the capability to use these coding resources to examine findings.
- Exceptional social spoken and written interaction abilities to precisely pass on details to internal and external consumers.
- Exceptional organizational abilities with capability to pattern and track audit findings efficiently.
- Exceptional issue fixing abilities, the capability to work separately, and to carry out under pressure in a team effort way with diplomacy and tact.
- Competent computer system and technical abilities, in addition to experience utilizing MS Word, Excel and PowerPoint.
- Capability to fulfill assigned due dates.
EDUCATION/EXPERIENCE/LICENSURE/ TECHNICAL/OTHER: Education: Associates degree in Health Info (RHIT), or associates degree in suitable health care field.
- Experience 3-5 years progressive coding experience in severe care health center setting, consisting of auditing
- Certification/Licensure: AHIMA accreditation needed, such as RHIA, RHIT or CCS,
- Software/Hardware: Meditech and 3M 360 experience needed; Cerner experience useful.
- Other: This is a remote position, and should live within a Steward working with state.
- Travel: Anticipated travel depends on 10%. Education and/or business development.
Steward Healthcare.
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