Coding Quality Reviewer/Audit

Jefferson Health Plans•Philadelphia, PA

4d•Onsite

About The Position

The Revenue Cycle Inpatient Coder is a Health Information Management Professional responsible for ICD-10 coding, POA and DRG assignment and abstracting of inpatient episodes of care according to ICD-10-CM/PCS Coding Rules and Principles. Keeps abreast of clinical conditions, coding guidelines and reimbursement reporting requirements. Brings identified concerns to management for resolution.

Requirements

3 years experience coding inpatient acute care medical records.
Knowledge of approaches, tools, techniques for recognizing, anticipating, and resolving organizational, operational or process problems, ability to apply this knowledge appropriately to diverse situations.
Knowledge of techniques and tools that promote effective analysis and the ability to determine the root cause of organizational problems and create alternative solutions that resolve the problems in the best interest of the business.
Understanding of effective communication concepts, tools and techniques, ability to effectively transmit, receive, and accurately interpret ideas, information, and needs through the application of appropriate communication behaviors.
Knowledge of and ability to read, interpret and draw accurate conclusions from financial and numerical material.
Knowledge of coaching concepts and methods, ability to encourage, motivate, and guide individuals or teams in learning and improving effectiveness.
Understanding of the value of self-motivation and initiative, ability and willingness to seek out work and the drive to accomplish goals.
Knowledge of the techniques and the ability to work with a variety of individuals and groups in a constructive and collaborative manner.
Knowledge of interviewing concepts and techniques, ability to conduct a conversation with another person to gather required information.
Knowledge of the major responsibilities, accountabilities, and overall organization of the customer support function or department, ability to properly support customer inquiries and bring problems to a timely resolution.
Knowledge of account management practices, tasks, and tools and ability to provide services and support to key clients.
RHIA - Registered Health Information Administrator - American Health Information Management Association or RHIT - Registered Health Information Technician - American Health Information Management Association or CPC - Certified Professional Coder - American Academy of Professional Coders or CCS - Certified Coding Specialist - American Health Information Management Association

Nice To Haves

Bachelor’s Degree in Health Information Management, Nursing, Business Administration, Health Administration or related field preferred.

Responsibilities

Performs ICD-10-CM /CPT coding and data abstraction within minimum established accuracy and productivity rates.
Attends mandatory staff education sessions and department meetings.
Refers coding issues to supervisor in a timely manner for determination and guideline development.
Complete and submit a weekly productivity log.

Benefits

medical (including prescription)
supplemental insurance
dental
vision
life and AD&D insurance
short- and long-term disability
flexible spending accounts
retirement plans
tuition assistance
voluntary benefits
tuition discounts at Thomas Jefferson University after one year of full time service or two years of part time service.