Coding Quality Specialist

Location

Dallas, TX | United States

Job description

Coding Quality Specialist 31414347

A leading children's medical institution is seeking a Coding Quality Specialist. The successful candidate will be responsible for accurately assigning diagnostic and procedure codes to inpatient encounters. The ideal candidate has c ompleted ICD 10 and SPT Coding courses/programs from a nationally recognized organization i.e. AAPC, AHIMA (must provide proof of PPE/internship hours)

Coding Quality Specialist Pay and Benefits:

• Hourly pay: $20/hr
• Worksite: Leading children's medical institution (Dallas, TX 75235 - Onsite)
• W2 Employment, Group Medical, Dental, Vision, Life, Retirement Savings Program, PSL
• 40 hours/week, 2 Month Assignment

Coding Quality Specialist Responsibilities:

• May assist with coding and abstracting of observation, ambulatory surgery, emergency department (ED), and other outpatient encounters as needed.
• Act as subject matter expert of diagnosis-related group (DRG), severity of illness (SOI) and risk of mortality (ROM) and serve as a resource on coding-related activities.
• Has developed breadth and/or specialized skills in a range of processes, procedures and systems, or acts as the technical expert within the discipline.
• Use knowledge of how related teams impact the achievement of objectives; regularly interact with other teams.
• Provide advanced subject matter guidance to more junior team members; may allocate work to less experienced colleagues.
• Identify and solve complex problems that arise with little or no precedent Impacts the effectiveness of own team and closely related teams.
• Develop and recommend solutions to existing challenges that can be adopted broadly within the organization.
• Clearly and accurately convey complex (potentially sensitive or controversial ) information.
• Adhere to departmental policies and procedures, objectives, quality assurance program, safety, environmental and infection control standards.
• Code and abstract all episodes of care on inpatient, ED, radiology, ambulatory surgery, transport, observation, and other outpatient encounters according to coding conventions, guidelines and hospital policy, analyzing questionable documentation to ensure to the accuracy of information and resolving identified issues.
• Query physicians or other providers to clarify documentation.
• Achieve and maintain 95% accuracy on quality reviews and productivity standards.
• Participate in educational programs and in-service meetings; attend other meetings as required.
• Complete all required training and education.
• Assign appropriate diagnosis and procedure codes utilizing the International Classification of Diseases, 10th Edition, Clinical Modification and Procedure Coding System (ICD 10-CM/PCS) and Current Procedural Terminology (CPT) coding guidelines.
• Determine appropriate principal diagnosis and procedure sequence. May review claim edits and denials and revise coding as appropriate.
• May assist in training and reviewing the work of other coders for accuracy and efficiency.

Coding Quality Specialist Qualifications:

• 3+ years of related working experience.
• 2 year Associate's degree or equivalent experience Health Information Technology (must provide proof of PPE/internship hours) required
• 4 year Bachelor's degree or equivalent experience Health Information Administration (must provide proof of PPE/Internship hours)
• Completion of ICD 10 and SPT Coding courses/programs from a nationally recognized organization i.e. AAPC, AHIMA (must provide proof of PPE/internship hours) required
• Basic knowledge of automated encoding system and computer-assisted coding methods.
• General knowledge of EHR's (electronic health record systems).
• Possess in-depth knowledge of the coding conventions, rules, and guidelines of multiple classification systems, including ICD- 10-CM/PCS, uniform hospital discharge data set (UHDDS), disease process in multiple medical/surgical specialties, All Patient Refined Diagnosis Related Group (APR-DRG), and Medicare-Severity (MS-DRG).
• Demonstrate appropriate utilization of coding software and coding reference material. Stays abreast of the latest developments, advancements, and trends in the field of health information management by attending seminars/workshops, reading professional journals, actively participating in professional organizations and integrates knowledge gained into current work practices.
• Maintain knowledge of applicable rules, regulations, policies, laws and guidelines that impact the Coding area.
• Meet patient and patient family needs; take responsibility for a patient's safety, satisfaction, and clinical outcomes; use appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence.
• Meet patient and patient family needs; take responsibility for a patient's safety, satisfaction, and clinical outcomes; use appropriate interpersonal techniques to resolve difficult patient situations and regain patient confidence.

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