Coding Quality Assur Spec II

We’re searching for a Coding Quality Assurance Specialist II who works well in a fast-paced setting. Assigns and audits the accuracy of ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for billing, research, and government and regulatory agencies.

Requirements

• 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 codes 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.