Outpatient Facility Coding Audit Specialist

Irving, TX - USA

Monthly Salary: Not Disclosed

Posted on: 4 hours ago

Vacancies: 1 Vacancy

Job Summary

Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis secondary diagnosis principal and secondary procedures present on admission (POA) indicators and DRG assignment.
q Identifies missed query opportunities for complete and accurate revenue within the federal state and payer specific regulations and coding policies.
q Conducts quality review of medical record abstracting and appropriate discharge disposition selection to ensure revenue integrity and data quality
q Provides analysis and trending of coding quality and opportunities; Interprets coding data to identify quality concerns trends and root causes related to denials.
q Ensures compliance with coding standards and government regulations.
q Maintains knowledge of coding and billing requirements and regulatory changes.

Skills and Abilities Required:
q Analytical ability to gather and interpret data to evaluate reports and track progress of initiatives and to determine methods for ensuring revenue integrity and coding compliance
q High degree of interpersonal skills to effectively communicate with internal and external customers including physicians clinicians management and coding staff
q In-depth technical knowledge of ICD-10-CM/ICD-10-PCS guidelines/coding clinics CPT coding conventions DRG and APC assignment medical terminology anatomy and disease processes.
q Proficiency with Microsoft office suite (Excel Word PowerPoint Outlook).
q Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment.
q Ability to interact with internal and external customers in a professional manner.
q Ability to ramp up on a clients environment processes historical context and systems to provide support to an engagement as soon as possible.

Education Experience & Licensure:
2 years previous experience as an outpatient coding auditor
3 years previous experience in coding outpatient hospital account

Required Skills:

OutpatientCodingAudit

Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis secondary diagnosis principal and secondary procedures present on admission (POA) indicators and DRG assignment. q Identifies missed query opportunities for complete and accura...

Performs coding quality audits and reports results for accurate ICD-10-CM and ICD-10-PCS coding of the principal diagnosis secondary diagnosis principal and secondary procedures present on admission (POA) indicators and DRG assignment.
q Identifies missed query opportunities for complete and accurate revenue within the federal state and payer specific regulations and coding policies.
q Conducts quality review of medical record abstracting and appropriate discharge disposition selection to ensure revenue integrity and data quality
q Provides analysis and trending of coding quality and opportunities; Interprets coding data to identify quality concerns trends and root causes related to denials.
q Ensures compliance with coding standards and government regulations.
q Maintains knowledge of coding and billing requirements and regulatory changes.

Skills and Abilities Required:
q Analytical ability to gather and interpret data to evaluate reports and track progress of initiatives and to determine methods for ensuring revenue integrity and coding compliance
q High degree of interpersonal skills to effectively communicate with internal and external customers including physicians clinicians management and coding staff
q In-depth technical knowledge of ICD-10-CM/ICD-10-PCS guidelines/coding clinics CPT coding conventions DRG and APC assignment medical terminology anatomy and disease processes.
q Proficiency with Microsoft office suite (Excel Word PowerPoint Outlook).
q Excellent time management skills; organized; ability to prioritize completing multiple tasks on schedule in a deadline driven environment.
q Ability to interact with internal and external customers in a professional manner.
q Ability to ramp up on a clients environment processes historical context and systems to provide support to an engagement as soon as possible.

Education Experience & Licensure:
2 years previous experience as an outpatient coding auditor
3 years previous experience in coding outpatient hospital account