Coding Quality Assurance Specialist *OB/GYN*/ REMOTE*

Full Job Description

Duties:

Assigns and audits the accuracy of the ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for purposes of billing, research, and providing information to government and regulatory agencies. Ascertains the accuracy of the physicians' E/M and procedure coding to their documentation, completes the auditing reporting tool, and provides feedback to the education team and/or provider. Incumbent may perform only certain of the following responsibilities depending on their particular work assignment. Reviews and interprets documentation for appropriate diagnosis and procedures. Communicates with and provides feedback to the education team and/or provider. Identifies principle and secondary diagnoses as well as procedure codes from the electronic medical record and/or paper record. Utilizes the encoder or coding books to correctly assign all ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures. Sequences diagnosis and procedures to generate appropriate ICD-10-CM, CPT, PCS, and DRG codes for billing. Queries physicians to obtain clarification or missing elements in the record preventing correct coding. Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, Logician, and coding reference materials). Assists other coders in resolving coding problems/questions. Provides ICD-10 and CPT, for physician research projects, and reporting purposes.

(Once trained) 5:00 am until 10:00 pm (in whatever their time zone is) 100% remote.

CPC Certification

• 3 years' experience coding Maternal Fetal Medicine or OB/GYN (office/hospital visits and deliveries)
• EPIC Experience

Skills:

Knowledge of coding guidelines, anatomy and physiology, biology and microbiology, pharmacology, medical terminology and abbreviations. Verbal and written communication, organizational, typing (35-45 wpm) and data entry skills, detail orientation, and ability to identify physician signatures and interpret physician notes accurately in order to assign correct codes in a timely manner.

Education:

Required- H.S. Diploma or equivalent.

Required- CCA - Certified Coding Associate American Academy of Professional Coders (AAPC) Or

CCS - Cert-Cert Coding Specialist American Health Information Management Association (AHIMA) Or

CCS-P - Cert-CCS-P Physician Based American Health Information Management Association (AHIMA) Or

CIPC - Certified Inpatient Coder American Academy of Professional Coders (AAPC) Or

COC - Certified Outpatient Coder American Academy of Professional Coders (AAPC) Or

CPC - Cert-Cert Professional Coder American Academy of Professional Coders (AAPC) Or

CRC - Cert Risk Adjustment Coder American Academy of Professional Coders (AAPC) Or

RHIA - Cert-Reg Health Inform. Admins American Health Information Management Association (AHIMA) Or

RHIT - Cert-Reg Health Inform. TECH American Health Information Management Association (AHIMA)

Experience

Required- 4 years coding.

Preferred- experience using an electronic medical record.

Certifications & Licenses: CCS

Location:

Houston Address: 6330 West Loop South, HEALTHPLAN*Health Plan - WLS
Postal Code:77401

Shifts:

REMOTE

Skills :