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At the direction of the Regional Manager and Supervisor, Coding, this position is responsible for implementation and ongoing activities of the coding quality and compliance plan for the assigned Regional Health Ministries (RHMs). Performs coding quality reviews as outlined in the coding quality plan; such as by coder, service line, focus area and as otherwise necessary to ensure accurate coding and DRG or APC assignment. Develops coder education based on results of coding quality reviews, audit results, and regulatory changes. Provides a high-level of technical competency and serves as a subject matter expert regarding documentation, coding, billing, reimbursement and compliance management as it relates to coding. Assists with denials management, complex case resolution and may perform coding tasks as directed. Coordinates and supports correction of errors occurring with coding systems. Provides coder support via phone or written communications, including in-services and other user group forums. Provides direction for daily coding assignments and operations. Responsible for developing and maintaining coding systems training and process documentation. Assists with training and on-boarding of new coding colleagues. Work may be onsite and/or remote.
