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