Auditor

• Under the general supervision of the Coding Quality Manager, the Data Quality Reviewer is responsible for validating the coding performed by inpatient or outpatient coders.
• Random and/or target samples are reviewed, and the results are provided to management and feedback to the individual coder.
• Assist with educating all coders and Medical Staff members while demonstrating a willingness to educate throughout the organization as needed.
• Maintains extensive knowledge of all coding standards and effectively communicates with appropriate individuals.
• Actively participates in outstanding customer service and accepts responsibility for maintaining relationships that are equally respectful to all.
• Performs quality reviews on coded records to validate ICD-10, ICD-10-PCS, MS-DRG, APR-DRGs, and overall coding accuracy retrospectively and concurrently.
• May perform pre-bill morality and PSI/HAC reviews.
• May perform Iodine Retrospective reviews in conjunction with the CDI team.
• Provides continuing education to individual coders and the coding staff concerning changes in the coding and reimbursement system and any weakness identified during the coding validation reviews.

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