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    Coding Quality Auditor - Atlanta, United States - Children's Healthcare of Atlanta

    Children's Healthcare of Atlanta
    Children's Healthcare of Atlanta Atlanta, United States

    3 weeks ago

    Default job background
    Description

    Note:
    If you are CURRENTLY employed at Children's and/or have an active badge or network access, STOP here. Submit your application via Workday using the Career App (Find Jobs).

    Work Shift

    Day

    Work Day(s)

    Monday-Friday

    Shift Start Time

    9:00 AM

    Shift End Time

    5:30 PM

    Worker Sub-Type

    Regular

    Children's is one of the nation's leading children's hospitals.

    No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow.

    We're committed to putting you first, and that commitment is at the heart of our company culture:
    People first. Children always. Find your next career opportunity and make a difference doing what you love at Children's.

    Job Description


    Provides audits and reviews patient charts, corresponding ICD-10 CM and ICD -10 PCS CPT-4 codes, modifiers, HCPCS CPT codes, and charges for appropriateness.

    Provides reports to management of findings and recommendations for solutions. Identifies areas of improvement which will enhance internal controls and performance throughout Children's Healthcare of Atlanta.

    Proactively supports the efforts that ensure safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta.

    Works with management team to educate Coding staff on coding and documentation compliance.

    Must live in one of the following states to be considered:


    • Alabama
    • Florida
    • Georgia
    • North Carolina
    • Oregon
    • South Carolina
    • Tennessee
    • Texas
    • Virginia
    • Wisconsin
    Experience


    • Minimum of 5+ years hospital auditing experience
    Preferred Qualifications


    • Associates degree in Health Information Management or related field
    Education


    • High school diploma or equivalent
    Certification Summary

    Minimum of one of the following:


    • Certified Coding Specialist (CCS)
    • Certified Outpatient Coder (COC)
    • Certified Inpatient Coder (CIC) Registered Health Information Technologist (RHIT)
    • Registered Health Information Administrator (RHIA)
    Knowledge, Skills, and Abilities


    • Advance knowledge of classification and reimbursement systems (e.g., ICD-10 CM, ICD-10 PCS, diagnosis-related groups e.g. MS-DRG, APR-DRG, Tricare DRG)
    • Advance knowledge of CPT, HCPCS, modifiers, ICD-10 CM, ICD-10 PCS coding
    • Strong analytical, organizational, and communication skills
    Job Responsibilities


    • Conducts chart audits for compliance assessment and establishes coding policy and procedure.
    • Prepares a report of findings for each audit along with an action plan.
    • Records and monitors corrections to the bill.
    • Assists in designing continued education to address deficiencies.
    • Plans and organizes work assignments to complete audits in an efficient manner.
    • Identifies problem situations or inadequate charge reconciliation procedures.
    • Clearly documents information to support findings and conclusions.
    • Keeps appropriate management personnel informed of any problems or unusual circumstances on a timely basis.
    • Facilitates improvement in the overall quality and completeness of medical records documentation.
    • Provides documentation education.


    Children's Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.

    Primary Location Address

    Used for remote worker assignment

    Job Family

    Coding
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