About the position
Responsibilities
• Perform complex, concurrent and/or retrospective analysis of medical record documentation to validate coded data as recognized by the AHA, CMS, AMA, AHIMA, AAPC, Coding Clinic, and CPT Assistant.
• Analyze findings and identify potential root causes of produced errors.
• Prepare summary reports of findings to clients, supplying specific references supporting findings contained within the provided audit report.
• Provide second-level review of processes to ensure compliance with legal and procedural policies and to ensure appropriate code assignments.
• Research, analyze, and respond to inquiries regarding compliance, coding, and denials.
• Protect the privacy and confidentiality of patient health and client information, and follow the Standards of Ethical Coding as set forth by AHIMA.
• Conduct audits as assigned meeting the productivity standards as set by record type for each audit.
• Prepare deliverables for the client as required for the audit scope while meeting timelines.
• Conduct independent QA of their assigned audit results prior to final submission for QA review and approval.
• Report work time and work products in a timely and accurate manner.
• Communicate with coworkers in an open and respectful manner that promotes teamwork and knowledge sharing.
• Interact with clients in a professional manner that exhibits excellent relationships, work performance and communication skills.
• Provide schedule of planned work activities, events and sites, and any changes to same, to Management and appropriate staff.
• Maintain professional credentials and knowledge of coding, reimbursement, and compliance issues through continuing education.
• Perform other duties and responsibilities as assigned.
Requirements
• Recognized credential from AHIMA or AAPC.
• Experience with telecommuting and electronic medical record systems required.
• Strong analytical skills.
• Proficient computer skills, specifically Microsoft Office products.
• Strong team player.
• Ability to work with multiple and diverse clients and projects.
• Ability to work with minimal supervision.
• Ability to maintain and access multiple files.
• Assure that work product is completed with high levels of accuracy and attention to detail.
• 5+ years’ experience coding and/or auditing in an acute care facility or clinic.
