CODING QUALITY ASSURANCE SPECIALIST/ REMOTE
Job description
Duties:
- Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes.
- Communicates with and provides feedback to the education team and/or providers.
- Reviews patient charges to determine necessary coding to complete the account.
- Identifies principle and secondary diagnoses as well as procedure codes from the electronic medical record.
- Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures.
- Sequences diagnosis and procedures to generate appropriate billing.
- Queries physicians to obtain diagnosis if not clearly provided in records.
- Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, and coding reference materials).
- Assists other coders in resolving coding problems.
- Provides ICD-10 and CPT, for physician research projects, and for quality reporting purposes.
Skills:
- Verbal and written communication, organizational, typing (35-45 wpm) and data entry skills, detail orientation, and ability
manner.
Education:
Required- H.S. Diploma or equivalent.
Required- CCA - Certified Coding Associate American Academy of Professional Coders (AAPC) Or
CCS - Cert-Cert Coding Specialist American Health Information Management Association (AHIMA) Or
CCS-P - Cert-CCS-P Physician Based American Health Information Management Association (AHIMA) Or
CIPC - Certified Inpatient Coder American Academy of Professional Coders (AAPC) Or
COC - Certified Outpatient Coder American Academy of Professional Coders (AAPC) Or
CPC - Cert-Cert Professional Coder American Academy of Professional Coders (AAPC) Or
CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) Or
RHIA - Cert-Reg Health Inform. Admins American Health Information Management Association (AHIMA) Or
RHIT - Cert-Reg Health Inform. TECH American Health Information Management Association (AHIMA)
Experience
Required- 4 years coding.
MUST HAVE DRG EXPERIENCE
Preferred- experience using an encoder.
Preferred- experience using an electronic medical record.
High school diploma or equivalent required- 4 years coding experience required
- Experience using 3M 360 (proficient)
- Experience using EPIC
- Certification Requirements: (ONE OF THESE)
Certifications & Licenses: CCS
Location:
Houston Address: 2450 Holcomb, NABISCO*Nabisco Building
Postal Code:77021
Shifts:
Part time and full-time position 100% REMOTE available.
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