Coding Quality Assurance Specialist II
Coding Quality Assurance Specialist II
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Job Description
Were searching for a Coding Quality Assurance Specialist II someone who works well in a fast-paced this position you will assign and audit 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.
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Job Duties & Responsibilities
Assigns ICD-10-CM ICD-10-PCS and CPT codes.
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 and procedure codes from the electronic medical 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.
Completes abstracts for records when appropriate.
Identifies problem accounts.
Corrects problem accounts.
Participates in education and maintains certification.
Assists in auditing records.
Maintains concurrent coding for inpatient records.
Skills & Requirements
Required High School Diploma or GED
Required Licenses/Certifications (One of the following):
oCCA - Certified Coding Associate by the American Health Information Management Association (AHIMA)
oCCS - Cert-Cert Coding Specialist by the American Health Information Management Association (AHIMA)
oCCS-P - Cert-CCS-P Physician Based by the American Health Information Management Association (AHIMA)
oCIPC - Certified Inpatient Coder by the American Academy of Professional Coders (AAPC)
oCOC - Certified Outpatient Coder by the American Academy of Professional Coders (AAPC)
oCPC - Cert-Cert Professional Coder by the American Academy of Professional Coders (AAPC)
oCRC - Cert Risk Adjustment Coder by the American Academy of Professional Coders (AAPC)
oRHIA - Cert-Reg Health Inform. Admins by the American Health Information Management Association (AHIMA)
oRHIT - Cert-Reg Health Inform. TECH by the American Health Information Management Association (AHIMA)
Required 2 years experience in coding
Pervious experience with Endocrinology and/or GI coding HIGHLY DESIRED
Required Experience:
Unclear Seniority
Employment Type
Part-Time
