Coding Validation Specialist 3

Inova•United States,

8d•$30 - $50•Remote

About The Position

Inova Health is looking for a dedicated Coding Validation Specialist 3 to join the team. This is a full-time, remote position with a day shift, Monday-Friday, general office hours. Inova is consistently ranked a national healthcare leader in safety, quality, and patient experience, and is recognized as a top employer.

Requirements

High School diploma or GED
Three years of coding experience required.
One of the following: RHIT, CCS or CPC, COC or CCS-P.

Nice To Haves

Strong general surgery coding experience

Responsibilities

Codes and reviews assigned records with defined productivity standards of four charts per hour for complex/intermediate surgeries and five charts per hour for simple surgeries.
Actively participates in internal pre-bill coding audits, independent coding audits, and coding education sessions.
Enhances professional growth and development by participating in other relevant continuing education activities.
Maintains or surpasses Inova Health System-defined quality standards for accurate assignment and validation of the Evaluation and Management (E/M) assignment of 95 percent.
Ensures correct CPT code for the level of service billed (i.e. Place of Service, Observation codes for Observation Status; Inpatient Codes for Inpatient Status).
Changes consult codes based on Payer requirements to the appropriate E/M code and appropriate units and/or modifiers maintaining an accuracy of 95 percent or greater.
Verifies the accuracy, completeness, and quality of ICD-10-CM, CPT-4, and HCPC coding including modifiers, units, and other variables impacting workload accountability and billing.
Communicates with the responsible physician or mid-level provider accordingly to obtain additional supporting documentation, or clarification required for code assignments and processes, including following an escalation or secondary review as necessary.