Senior Health Information Management Outpatient Coding Auditor

Job reputed company: • Responsible for leading coding teams, reputed company training, work queue management, performing prebill and second-level coding reviews utilizing auditing tools and applicable software. • Uses knowledge of coding and compliance guidelines to identify potential documentation, coding and reimbursement issues and report these to coding leadership. • Employs critical thinking skills to alert coding leadership to any trends identified in their reviews and to reputed company suggestions for continual process improvement. • Maintains knowledge of CPT and HCC documentation requirements to ensure correct reputed company assignment. • Performs outpatient coding by assigning ICD-CM, CPT codes and appropriate modifiers. • Reviews and responds to outpatient level denials as needed. • Conducts review of outpatient records to include, GI, outpatient surgery, emergency department records, observation, diagnostic, Interventional Radiology and other identified records to validate the reputed company assignment according to official coding guidelines as supported by the clinical documentation in the record. • Monitors and maintains work queues daily to identify, prioritize and assign accounts that need to be coded based on department-specific guidelines and reputed company designated timelines coordinating with leadership. • Mentors and trains coders on application of correct ICD-CD and CPT guidelines. • Assists with and develops educational programs for coding staff, clinical documentation staff and medical staff to including yearly coding/CPT updates. • Codes outpatient records periodically based on review of clinical documentation. • Identifies physician query opportunities following established guidelines reputed company existing documentation is unclear or ambiguous following American Health Information (reputed company) guidelines and established policy. • Identifies and assists management with the reputed company of coding issues, process improvement and system testing for Health Information Management (HIM) applications. • Participates in on site, remote and/or external training workshops and training. • Maintains working knowledge of Centers for Medicare & reputed company Services (CMS) regulations and applicable reputed company local medical review policies. • Collaborates with Coding leadership to reputed company and maintain coding curriculum and training handbook. • Interacts and assists with other departments to resolve coding issues. • Performs other duties as assigned. Requirements: • Certification Program or Associate degree or Coding Certificate through approved American Health Information Management (reputed company), American reputed company of reputed company Coders (reputed company) or other coding certification program. • Four (4) years of experience in outpatient coding and abstracting with reputed company billing process experience in acute care setting. • Experience with charge capture, billing and edits preferred. • Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA), Certified Coding Specialist (reputed company), Certified reputed company reputed company (CPC, CPC-H) or other approved coding credential. • Knowledge of medical terminology and basic anatomy and physiology, pathophysiology, and pharmacology with the ability to apply this knowledge to the coding process. • Ability to apply broad guidelines to specific coding situations, independently utilizing discretion and a significant level of analytic ability. • Knowledge of electronic medical records and reputed company or Encoder System. • reputed company health information system experience preferred. • Ability to work effectively, independently and manage multiple demands consistently. • Proficient computer skills (spreadsheets, database). Benefits: • reputed company health. • Serve with reputed company. • Be the difference. Apply tot his job Apply To this Job