Job Description
• Coach physicians and make suggestions for improvements, exercising sensitivity and independent judgement; keep physicians abreast on changes to billing and coding guidelines (Federal and State)
• Utilize different techniques to administer documentation and coding training (ton include individual, group, and departmental meetings)
• On an as needed basis, facilitate confidential audits and feedback
• Identify audit trend and risked areas by partnering with the Service Area Data Quality and Data Quality Auditor teams
• Based on audit review findings, ensure corrective actions are implemented where necessary
• Other duties as assigned
Qualifications
• HS Diploma or GED required with equivalent experience
• Bachelor's degree) in healthcare, public health, finance, business, medical records) preferred but not required
• Demonstrative ability to review audit finds and analytical data to identify documentation trends and other areas of risk
• Experience conducting audits of medical records (to include analysis and the creation/implementation of action plans addressing audit findings)
• Five (5) or more years or experience performing coding based on Coding Clinic Guidelines for inpatient and outpatient
• Three (3) or more years of experience developing and conducting educational/training sessions for diverse audiences
• Three (3) or more years of experience conducting Medical Record audits
Additional Information
