Performs Outpatient Facility coding audits of medical records and abstracts using ICD-10-CM, CPT, HCPCS, and modifiers and appropriate coding references for accurate coding assignment
Provides rich and concise rationale explaining the reasoning behind any identified changes, including specific references, location of documentation, etc
Keeps abreast of regulatory changes
Organizes and prioritizes multiple cases concurrently to ensure departmental workflow and case resolution
Provides coder education via the auditing process
Function in a professional, efficient and positive manner
Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
High complexity of work function and decision making
Strong organizational, teamwork, and leadership skills
Requirements
5+ years of outpatient facility coding experience and/or auditing
CCS (required), RHIA or RHIT preferred
Maintains 95% accuracy rate
Experience with various software including Epic, Cerner, and other prevalent EMRs
Candidate needs a strong skill set in SDS, ED, Observation and I&I (preferred)
Must be customer-service focused and exhibit professionalism, flexibility, dependability, desire to learn, commitment to excellence and commitment to profession
Adhere to the American Health Information Management Association (AHIMA)’s code of ethics