- Provide comprehensive compliance coding reviews that reflect findings and recommendations in a timely, professional manner.
- Uses reference materials and tools to validate coding and abstracting to ensure correct payment.
- Tracks trending analysis to identify patterns and variations in coding/billing practices.
- Provide consultative service and subject matter expertise in general and select coding related services.
- Produce reports highlighting findings of audit, opportunities for improvement, and detailed commentary to the client
- Develops written reports summarizing findings and presenting to client
- Create educational materials and content based on audit findings
- Conduct client education sessions to review findings, recommendations, and best practices
- For RAC and denial management assignments create appeal letters to defend hospital coding based on medical record documentation and official coding guidelines
- For coding preceptorship assignment servers as a coding mentor for client and Peak preceptorship educational programs
- Ability to manage multiple client engagements
- Comply with internal coding compliance monitoring plan relative to quality measures. Consultants shall achieve and maintain minimal accuracy of coding compliance of 95% during review of audit work product. Senior Coding Consultant staff shall comply with internal productivity benchmarks established by Peak.
- Communicate effectively with management, co-workers, clients, physicians, and other customers to ensure collaboration.
- Maintain current knowledge and expertise of coding guidelines, coding updates and regulatory requirements.
- Maintain professional credentials (AHIMA, AAPC) satisfying all required CE hours (auditors responsibility). Senior Coding Consultants may take advantage of any internal coding education programs.
- Provide documentation of annual education courses completed during annual evaluation.
- Share knowledge base and provide internal coding consulting services as a member of the Peak team.
- Promotes efficient use of expenditures and resources (expense reports, timesheets) in accordance with budgetary guidelines
- RHIA or RHIT, and/or CCS Mandatory: AHIMA ICD-10 Approved Trainer preferred
- 2 years of coding consulting experience
- 5 years of coding experience
- Clinical Documentation and/or Inpatient coding experience with report writing and presentation expertise
- Knowledge of the medical record, ICD-10 principles and documentation requirements
- Must be detail oriented and have the ability to work independently
- Computer knowledge of MS Office, Excel, Adobe, MS Word, and MS PowerPoint
- Must display excellent interpersonal skills
- Ability to write reports independent of management review
- Colleague is responsible for maintaining continuing education credits as required by
- Ability to occasionally travel up to 10% if necessary