Coding Quality Specialist
St. Joseph's Health · US
Perform coding audits to determine that all coding remains compliant and meets all federal and state guidelines (i. e. Medicare/ Medicaid).
Job description
Perform coding audits to determine that all coding remains compliant and meets all federal and state guidelines (i.e. Medicare/ Medicaid). Perform coding validation reviews for Patient Safety Indicators (PSIs), Present on Admission (POA), Compliance, Clinical Documentation Improvement, Quality and Performance Improvement. Assist with internal/external coding education/feedback. Must have experience working with CPT, ICD-CM diagnosis and procedure coding, E/M Documentation Guidelines, CCI edits, Medicare LCDs and NCDs, state and federal regulations. Knowledge of DRGs required. Bachelor's degree or Associate's Degree with 5 years of coding and/or coding auditing experience.. Five to seven years of work experience. Registered Health Information Administrator (RHIA) and/or Certified Coding Specialist (CCS) by American Health Information Management Association or Certified Professional Coder (CPC) through American Academy of Professional Coders (AAPC). St. Joseph’s Health is recognized for the expertise and compassion of its highly skilled and responsive staff. The combined efforts of the organization’s outstanding physicians, superb nurses, and dedicated clinical and professional staff...