Coding Quality Assurance Specialist III

We're looking for a Coding Quality Assurance Specialist III to assign and audit ICD-10-CM and CPT codes, review physician documentation, and communicate with the education team and/or providers. Requires 4 years of coding experience and a relevant certification.

Requirements

• Assigns ICD-10-CM, ICD-10-PCS, DRG, E/M and/or CPT codes
• Reviews and interprets physician documentation
• Communicates with and provides feedback to the education team and/or providers
• Reviews patient charges to determine necessary coding to complete the account
• Identifies principle and secondary diagnoses and procedure codes from the electronic medical record
• Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures
• Sequences diagnosis and procedures to generate appropriate billing
• Queries physicians to obtain diagnosis if not clearly provided in records
• Utilizes other available resources for assignment of codes as necessary
• Assists other coders in resolving coding problems
• Provides ICD-10 and CPT codes for physician research projects and quality reporting purposes
• Completes abstracts for records as appropriate
• Assists in correction of problem accounts
• Reviews charts for completeness
• Participates in education and maintains certification
• Assists in auditing records
• Maintains concurrent coding for inpatient records

Benefits

• Health insurance
• Retirement plan
• Paid time off
• Professional development opportunities