Description

Become part of an inclusive organization with over 40,000 diverse employees, whose mission is to improve the health and well-being of the unique communities we serve.

Summary:
This position trains and audits medical coders, either inpatient or outpatient across all HCS entities that are owned or managed that have opted into shared services. This position reports to the HCS Supervisor Coding and CDI Quality and Training. This position provides mentoring and training of new coding staff and ongoing training for existing staff. The position audits and provides feedback as needed and attends IP and OP huddles to respond to coder questions and provide training and education. This position processes and appeals insurance coding denials. This position analyzes coded records for compliance with federal, state and third party insurer rules and regulations and note trends. This position educates physicians and staff on error trends and how to prevent/reduce errors to maximize reimbursement, accurately reflect expected mortality, and demonstrate compliance.

Responsibilities:

1. Audits inpatient and outpatient medical coders to assure a minimum of 95% accuracy and recommends education and training related to results.

2. Assigns and/or audits IP and OP Coders assignment of International Classification of Diseases 10-CM (ICD-10) diagnostic and ICD-10-PCS procedural codes, Current Procedural Terminology (CPT) codes with modifiers, and other applicable codes in an accurate and productive manner on inpatient, outpatient (observation, ambulatory surgery, and ancillary cases).