Children's Healthcare of Atlanta-posted 3 months ago
Full-time • Mid Level
Brookhaven, GA
5,001-10,000 employees

Children’s is one of the nation’s leading children’s hospitals. No matter the role, every member of our team is an essential part of our mission to make kids better today and healthier tomorrow. We’re committed to putting you first, and that commitment is at the heart of our company culture: People first. Children always. Find your next career opportunity and make a difference doing what you love at Children’s. This position provides audits and reviews patient charts, corresponding ICD-10 CM and ICD-10 PCS CPT-4 codes, modifiers, HCPCS CPT codes, and charges for appropriateness. It also provides reports to management of findings and recommendations for solutions, identifies areas of improvement which will enhance internal controls and performance throughout Children’s Healthcare of Atlanta, and proactively supports the efforts that ensure safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. The role works with the management team to educate Coding staff on coding and documentation compliance.

  • Conducts chart audits for compliance assessment and establishes coding policy and procedure.
  • Prepares a report of findings for each audit along with an action plan.
  • Records and monitors corrections to the bill.
  • Assists in designing continued education to address deficiencies.
  • Plans and organizes work assignments to complete audits in an efficient manner.
  • Identifies problem situations or inadequate charge reconciliation procedures.
  • Clearly documents information to support findings and conclusions.
  • Keeps appropriate management personnel informed of any problems or unusual circumstances on a timely basis.
  • Facilitates improvement in the overall quality and completeness of medical records documentation.
  • Provides documentation education.
  • Minimum of 5+ years hospital auditing experience.
  • High school diploma or equivalent.
  • Minimum of one of the following certifications: Certified Coding Specialist (CCS), Certified Outpatient Coder (COC), Certified Inpatient Coder (CIC), Registered Health Information Technologist (RHIT), Registered Health Information Administrator (RHIA).
  • Advance knowledge of classification and reimbursement systems (e.g., ICD-10 CM, ICD-10 PCS, diagnosis-related groups e.g. MS-DRG, APR-DRG, Tricare DRG).
  • Advance knowledge of CPT, HCPCS, modifiers, ICD-10 CM, ICD-10 PCS coding.
  • Strong analytical, organizational, and communication skills.
  • Associates degree in Health Information Management or related field.
  • Comprehensive compensation and benefit package.
  • Programs and services that support the mission, vision, and values.
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