Responsible for the timely and accurate coding for reimbursement and data collection purposes.
Coordinates daily responsibilities of coding and support staff.
Timely prebill review and audit patient medical records (inpatient primarily) and correctly capture final DRG for each review.
Analyze clinical data of inpatients, current treatment, past medical history and identify potential gaps in physician documentation.
Analyze and report trends for improvement opportunities in coding and documentation.
Verify coding and abstracting accuracy by performing quantitative and qualitative reviews.
Communicate with physicians or other providers to validate diagnoses, clinical indicators and appropriately prompts for documentation utilization AHIMA/ACDIS best practice query principles, if necessary, either verbally or written.
Follow industry best practice coding standards in accordance with CMS, AHIMA, AHA, AAPC, and AMA guidelines.
Create educational material and educate physicians, coders, and other key healthcare providers regarding clinical documentation improvement and the need for accurate and complete documentation in the health record.
Train and audit entry level coders or coders who are being trained in a new discipline.
Requirements
RHIA, RHIT or CCS certification or equivalent certification/degree.
College credits in medical terminology, anatomy, and physiology.
Three years coding experience in a Health Information Management Department or equivalent.
Experience with implementing and maintaining computer systems.
Benefits
Full Medical, Dental, Vision, Life Insurance, etc.
403(b) with company match.
Generous paid time off.
Incredible Work/ Life benefits including annual membership to care.com, access to backup care services for dependents through Care@Work, retirement planning services, financial coaching, fitness and wellness reimbursement, and great discounts through several vendors for hotels, rental cars, theme parks, shows, sporting events, movie tickets and much more!