- Actively participates in the review and improvement of processes and services
- Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed
- Prepares and presents coder education as needed based on trends and/or problematic areas identified by HSCs or corporate HIM.
- Collates and presents quality trends and findings to the VRM management team, Vendor teams
- HSC coding leadership and HIM Leadership
- Monitors and ensures vendor staff adhere with coding guidelines and policies
- Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
- Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality)
- Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes as well as facility E/M levels and injection/infusion procedure codes assigned by vendor coders
- Validates accuracy of codes assigned by CAC (Computer Assisted Coding) tool; assists in monitoring coders CAC adoption behavior; assists in identifying precision and recall improvement opportunities
- Monitors and assists the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process
- Submits and reviews coding appeals as appropriate
- Monitors and maintains the communication logs between the HSCs and the coding vendors, including but not limited to the mailbox escalations, CIMRR logs and VRM vendor error logs
- Undergraduate degree in HIM/HIT preferred.
- Management/Supervisory experience in healthcare related field required
- Minimum of 2 years acute care inpatient and/or outpatient coding experience required
- Coding auditing/monitoring experience strongly preferred
- Associate Degree
- Certified Coding Specialist (CCS),or Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT)
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Inpatient Lead Coder - Nashville, United States - All Med Search
Description
Job Description
Job DescriptionQualifications
As part of our recruiting process, All Med Search may contact you via email and SMS text message. By responding 'YES' to our engagement, and/or by submitting your application/resume, responding to an email, or any type of engagement with recruiting efforts, you consent to future communication via email and SMS text message. Message and data rates may apply, depending on your mobile phone service plan. For assistance, reply 'HELP' to your texts or to opt-out, reply 'STOP' to either emails or texts.
