Children's Healthcare of Atlanta-posted 3 months ago
Full-time
North Atlanta, GA
5,001-10,000 employees
Hospitals

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. The position involves auditing and reviewing patient charts, corresponding ICD-10 CM and ICD-10 PCS CPT-4 codes, modifiers, HCPCS CPT codes, and charges for appropriateness. The role also includes providing reports to management of findings and recommendations for solutions, identifying areas of improvement to enhance internal controls and performance, and supporting efforts to ensure safe patient care and services.

  • 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
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