Work Setup : Onsite (QC)
License : Active PHRN License
Certification : Active CPC, COC, CCS, CCS-P
Educational Attainment : Bachelor's degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.
Responsibilities :
- Conduct audits in various medical coding specialties in inpatient settings to assess coding accuracy and ensure adherence to official coding guidelines.
- Provide detailed rationale and supporting references for recommendations and findings.
- Utilize industry-recognized references to support review findings, such as the ICD-10-CM Official Guidelines for Coding and Reporting, ICD-10-PCS Official Guidelines for Coding and Reporting, AHIMA Standards of Ethical Coding, AHIMA Practice
Requirements :
5 years experience in outpatient coding with exposure to multiple specialties1 year experience in each specialty with a minimum of 2 specialties Same Day Surgery, Observation, Interventional Radiology, Oncology, Transplant, OBGYNE, Emergency1 year experience as Quality Auditor