Coding Quality Specialist

Trinity Mother Frances Health System Irving , TX 75061

Posted 3 weeks ago

Selected by CHRISTUS Health Coding Leadership to focus coding skills and expertise on internal departmental audits in support of Coding Operations Department, business needs. Coding Auditor Specialist will complete internal, facility level, coding audits and report in a format that provides professional services and feedback to coding staff and any external clients.

Coding Audit Specialist will demonstrate high-quality knowledge and understanding of ICD-10-CM, ICD-10-PCS and/or CPT/HCPCS coding guidelines and practices for acute care reimbursement, while maintaining a 95% audit accuracy rate. The Audit Specialist will have a strong working knowledge of CHRISTUS Health applications in addition to other applicable software, required for auditing.

Coding Audit Specialist will receive work assignments based on departmental needs, including but not limited to PEPPER, new hire and standard pre-bill, performance improvement, corrective action plan, query quality and remediation audits. Coding Audit Specialists will audit for quality in regards to POA assignment, principal and secondary diagnosis code assignment, procedural coding, modifier usage, discharge disposition verification, query opportunities and DRG and APC accuracy.

Coding Audit Specialist will work collaboratively with various CHRITSUS Health Departments, including but not limited to the Regional Coding Managers, HIM, Education Department, Clinical Documentation Specialist to ensure accurate and complete audit results. Coding Audit Specialist will also assist in other areas of the Coding Operations Department, as requested by leadership.

Coding Audit Specialist will report directly to the Specialty Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.

  • Facilitate and complete inpatient and outpatient coding audits.

  • Communicates audit results both verbally and in writing in an approved, appropriate format

  • Assist with development and coordination of audit plans, feedback to coding staff and management to include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management.

  • Assist with chart sample selection for audit and coordinates with Coding Managers.

  • Assist with annual review of charter of targeted chart audits and samples.

  • Work collaboratively with Coding Integrity. Reviews audit results and performs trend analyses to identify patterns and variations in coding practices and case-mix index which require education.

  • Meets or exceeds an audit accuracy rate of 95%.

  • Ensure coding audits are appropriate and effective. Assesses effectiveness through associate evaluations.

  • All other work duties as assigned by Manager.

  • High school diploma or GED.

  • Completion of accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred.

  • Strong written and verbal communication skills.

  • Abel to work independently in a remote setting, with little supervision.

  • Five (5) or more years of Inpatient and/or Outpatient coding experience in an acute care setting.

  • Registered Health Information Administrator (RHIA) (AHIMA)

  • Registered Health Information Technician (RHIT) (AHIMA)

  • Certified Coding Specialist (CCS) (AHIMA)

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon
lc_ad

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Sr Director Quality And Compliance Mentor

Johnson & Johnson

Posted 4 days ago

VIEW JOBS 9/16/2020 12:00:00 AM 2020-12-15T00:00 Position Summary: The Sr. Director of Quality & Compliance is directly responsible for ensuring effective implementation and continuous improvement of Mentor Quality Management System. Establishes quality policies, strategies and, objectives for the company/ platform to ensure business continuity focusing on the delivery of safe and effective products meeting customer requirements and expectations in full compliance with all relevant regulatory requirements and applicable standards. The Sr. Director of Quality & Compliance works cross-functionally with Operations, Regulatory, Medical, R&D, Sales, Marketing and other functions to assure all operations of the company comply with applicable QSR, ISO, and other WW HA regulations. The Sr. Director of Quality & Compliance also serves as the Management Representative. Duties & Responsibilities: * Plans and directs resources and activities of the quality function. Oversees directly and indirectly organization of quality professionals such as engineers and scientists across Product development, lifecycle, quality risk management and is responsible for the overall direction, coordination, and evaluation of quality matters. * Builds long-range quality plans for the organization focusing on the effective development of new products and establishing systems to ensure Life Cycle Management of products. * Chairs the Quality Review Board. * Assures the implementation of policies and strategies for systems to assure compliance with regulations and industry standards as well as enterprise, sector and CSS strategies. * Determines organizational structure and allocation of responsibilities within the Quality group and works closely with cross-functional partners to determine resource allocation. * Provides management with executive responsibility with objective evaluation of overall WW Quality performance and provides leadership and guidance for implementation of improvements, corrective ad preventive actions. * Provides updates to company officials, franchise management and Johnson & Johnson Sector and enterprise quality regarding compliance status and performance relating to quality. * Partners with business and functional leaders to drive risk mitigation, proactive action and continuous improvement. Communicates and promotes Quality vision and goals. Recruits and retain high caliber Quality professionals. * Other duties and responsibilities as needed/assigned by the manager. Qualifications Required Qualifications: * Bachelor's degree in Engineering, physical or biological sciences or equivalent * At least 10 years of experience in medical device manufacturing or equivalent, with 5 years management experience * Demonstrated knowledge of and compliance with applicable Quality System requirements (e.g., QSRs, ISO and MDD/ EU MDR requirements) * Experience working with regulatory authorities and certification bodies * Strong written and verbal communication skills to communicate effectively at all levels * Strong problem-solving skills, time management, and communication skills * Strong people management skills, ability to build partnerships, internally and externally as well as the ability to influence * Balanced technical understanding of products and processes combined with outstanding business and compliance acumen Preferred Qualifications: * Master's degree in physical or biological sciences * CQM or CQE certification from the American Society for Quality (ASQ) Location & Travel Requirements: Location: Irving, Texas (preferred) or Irvine, California. Travel: Up to 30% travel may be required Primary Location United States-Texas-Irving- Other Locations United States-California-Irvine Organization Mentor Worldwide LLC (6177) Job Function Quality Requisition ID 2245200909 Johnson & Johnson Irving TX

Coding Quality Specialist

Trinity Mother Frances Health System