Coding QI Review Coordinator
Location: Missoula Montana
Description: Providence Health & Services is hiring Coding QI Review Coordinator right now, this job will be placed in Montana. For complete informations about this job opportunity kindly see the descriptions. Providence is calling a Coding QI Review Coordinator to
Revenue Cycle in Missoula, MT.
The Coding QI Review Coordinator is critical to the coding compliance program. By performin! g audits of hospital coding, training new coding staff, preparing and presenting educational sessions for the coders and staying current with official coding guidelines and regulations, the incumbent ensures the proper coding of PH&S hospital medical records.
In this position you will:
Ensure proper coding of hospital medical records through training, auditing and research.
Act as a subject matter expert for the coding staff.
Perform random and focused audits of HIM-coded medical records by reviewing charts for coding accuracy, including DRG or APC, severity of illness and risk of mortality levels. In addition, check the completeness and accuracy of abstracting, including discharge disposition and present on admission indicators.
Research and answer coding questions, enlisting the assistance of colleagues, including CDS nurses, supervisor or manager as needed.
Review RAC coding denials and underpayments as well as codi! ng-related insurance company denials and provide rationale for! appeals.
Identify, resolve and escalate major issues and service failures that impede success.
Required
qualifications for this position include:
Graduation from an AHIMA-accredited health information technology, management of coding certificate program.
Current RHIT, RHIA, CCS or CCS-P or other recognized coding credential.
At least 5 years recent acute care hospital inpatient, day surgery or emergency department coding experience.
Proven thorough knowledge of ICD-9-CM and/or CPT coding principles and conventions, medical terminology, anatomy and physiology, human disease processes prospective payment systems (DRGs) and Present on Admission (POA) assignment.
Demonstrated knowledge of CMS, Medicaid and other regulatory guidelines including current Evaluation and Management documentation and coding rules.
Proven PC Proficiency in MS Windows and Office applications.
About the departme! nt you will serve.
One Revenue Cycle (ORC) is the name adopted to reflect the Providence employees who work throughout Providence Health & Services (PH&S) in revenue cycle systems and structures in support of our ministries and operations in all regions from Alaska to California. ORC’s objective is to ensure our core strategy, One Ministry Committed to Excellence, is delivered along with the enhanced overall patient care experience (know me, care for me, ease my way) by providing a robust foundation of services, operational and technical support, and the sharing of comprehensive, relevant, and highly specialized revenue cycle expertise.
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If you were eligible to this job, please email us your resume, with salary requirements and a resume to Providence Health & Services.
If you interested on this job just click on the Apply button, you will be redirected to the official website
This job starts available on: Tue, 01 Oct 2013 05:20:16 GMT