Provider Quality Compliance ASU/IR Specialist

MaineHealth•Westbrook, ME

About The Position

The Provider Quality Compliance ASU/IR Specialist oversees, audits, and trains on ICD and CPT coding and charging of diagnoses and procedures for medical records across multiple outpatient and inpatient settings. The role requires extensive multispecialty coding experience, including acute care facility ASU clinical coding and physician professional charges.

Requirements

One of the following credentials is required: RHIT, RHIA, CCS, CCA, CPC, CPC-H, or CIRCC.
CIRCC credential is required within 12 months of employment.
Five years of multispecialty coding experience, preferably surgical, using CPT, ICD-10-CM, HCPCS, and modifier coding for physician professional charges.
At least five years of experience as an ASU Clinical Coder in an acute care facility.
Experience coding E/Ms, Outpatient Hospital Clinics, OBV, ASU, Professional Surgical CPTs, EDs, cardiac cath/angiography, and simple visit coding.

Nice To Haves

Associate’s degree in a science field.
Completion of an accredited program through AHIMA or AAPC.
Two years of project coordination experience.
Coding experience in both physician and hospital practice.
EPIC experience.

Responsibilities

Oversee ICD and CPT coding and charging of diagnoses and procedures for medical records in multiple outpatient and inpatient settings.
Audit ICD and CPT coding and charging.
Provide training on ICD and CPT coding and charging.