- Assist Coding Manager, HIM Director and Coders with evaluating the medical record for incomplete or inconsistent documentation; work closely with audit team to ensure monthly coding audits and education.
- Provide training to new coding compliance auditors – Physician Practice; review work and monitor progress to ensure coding accuracy and productivity are being met.
- Review and provide weekly work queue trends. Perform audits required by compliance such as RAC, MAC, or third-party payers to determine if the information in the medical record is meeting set standards and regulations as requested.
- Review, report, and correct denials in the work queue as it relates to charges within appropriate timeframes to meet timely billing requirements; assist in coding outpatient records as needed.
- Send queries for physicians to assist in accurate, quality documentation within the medical record; help facilitate and assist in a query monitoring and reporting program.
- Review charge master updates and additions for appropriate current ICD-10 and CPT code assignment. Participate in communication and education with medical staff concerning documentation issues/queries to support accurate coding and billing.
- Support continuous quality improvement efforts and performs special projects, training, education, and/or duties as assigned by the Coding Manager.
- Perform all other duties that may be assigned in the best interest of the Shirley Ryan AbilityLab.
- Associate's degree required. Bachelor's degree preferred.
- Coding Certification through AHIMA or AAPC (i.e., RHIA, RHIT, CPC, CCS, or CCS-P certification) and maintain continuing education requirements.
- Minimum 5-7 Years of ICD-10CM and ICD-10PCS coding experience and clinical knowledge.
- 3-4 years of auditing experience, i.e., physician documentation audits. Knowledge of regulatory, billing, and other coding guidelines.
- Thorough knowledge of related prospective payment systems and excellent auditing skills for coding quality and compliance acquired by on-the-job experience.
- Advanced computer skills with Windows based applications, including Word, Excel, PowerPoint.
- Obtains experience with Teams, Web-Ex and/or Zoom meetings for presentations.
- Interpersonal skills necessary to effectively communicate with other departments, physicians, outside agencies, and key customers.
- Good writing skills to create reports and ability to graphically present audit data.
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Senior Coder - Chicago, IL, United States - Shirley Ryan AbilityLab
Description
By joining our team, you'll be part of our life-changing Mission and Vision. You'll work in a truly inclusive environment where diversity and equity are championed through words and actions. You'll contribute to an innovative culture that is second to none, one that embraces curiosity, discovery and compassion. You'll play a role in something that's never been done before as we integrate science and clinical care to help patients achieve better, faster outcomes — as we Advance Human Ability, together.
Job Description Summary
The Senior Coder – Physician Practice, utilizing a strong coding background and clinical knowledge, will assist the Coding Manager and Director of HIM in overseeing the Coding Compliance Auditors – physician practice and coding program including audits. Senior Coder will also review and code diagnoses and procedures for physician claims to prevent loss of revenue, optimize charge capture, and adhere to all compliance standards. The Senior Coder will work on assigned special projects and audits that include training of new staff and ongoing education.The Senior Coder will consistently demonstrate support of the SRALAB statement of Vision, Mission, and Core Values by striving for excellence, contributing to the team efforts, and showing respect and compassion for patients and their families, fellow employees, and all others with whom there is contact at or in the interest of the institute.
The Senior Coder will demonstrate SRALAB Core Attributes: Communication, Accountability, Flexibility/Adaptability, Judgment/Problem Solving, Customer Service and SRALAB Values (Hope, Compassion, Discovery, Collaboration, & Commitment to Excellence) while fulfilling job duties.
Job Description
The Senior Coder will:Reporting Relationships
Reports directly to the Manager, Medical Records Coding.
Knowledge, Skills & Abilities Required
Working Conditions
Normal office environment with little or no exposure to dust or extreme temperature.
The above statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified.
Equal Employment Opportunity
ShirleyRyan AbilityLab is an equal opportunity/affirmative action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected Veteran status, age, or any other characteristic protected by law.
