What are the responsibilities and job description for the Coding Quality Auditor – Hospital Inpatient and Outpatient position at Children's Healthcare of Atlanta?
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Work Shift Day
Work Day(s) Monday-Friday
Shift Start Time 8:00 AM
Shift End Time 5:00 PM
Worker Sub-Type Regular
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.
Job Description Provides audits and reviews patient charts, corresponding ICD-10 CM and ICD -10 PCS CPT-4 codes, modifiers, HCPCS CPT codes, and charges for appropriateness. Provides reports to management of findings and recommendations for solutions. Identifies areas of improvement which will enhance internal controls and performance throughout Children’s Healthcare of Atlanta. Proactively supports the efforts that ensure safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Works with management team to educate Coding staff on coding and documentation compliance.
Experience
Minimum of 5 years hospital auditing experience
Preferred Qualifications
Associates degree in Health Information Management or related field
Education
High school diploma or equivalent
Certification Summary
Minimum of one of the following:
Certified Coding Specialist (CCS)
Certified Outpatient Coder (COC)
Certified Inpatient Coder (CIC) Registered Health Information Technologist (RHIT)
Registered Health Information Administrator (RHIA)
Knowledge, Skills, and Abilities
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
Job Responsibilities
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.
Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.
Primary Location Address 1575 Northeast Expy NE
Job Family Coding
Work Shift Day
Work Day(s) Monday-Friday
Shift Start Time 8:00 AM
Shift End Time 5:00 PM
Worker Sub-Type Regular
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.
Job Description Provides audits and reviews patient charts, corresponding ICD-10 CM and ICD -10 PCS CPT-4 codes, modifiers, HCPCS CPT codes, and charges for appropriateness. Provides reports to management of findings and recommendations for solutions. Identifies areas of improvement which will enhance internal controls and performance throughout Children’s Healthcare of Atlanta. Proactively supports the efforts that ensure safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta. Works with management team to educate Coding staff on coding and documentation compliance.
Experience
Minimum of 5 years hospital auditing experience
Preferred Qualifications
Associates degree in Health Information Management or related field
Education
High school diploma or equivalent
Certification Summary
Minimum of one of the following:
Certified Coding Specialist (CCS)
Certified Outpatient Coder (COC)
Certified Inpatient Coder (CIC) Registered Health Information Technologist (RHIT)
Registered Health Information Administrator (RHIA)
Knowledge, Skills, and Abilities
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
Job Responsibilities
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.
Children’s Healthcare of Atlanta is an equal opportunity employer committed to providing equal employment opportunities to all qualified applicants and employees without regard to race, color, sex, religion, national origin, citizenship, age, veteran status, disability or any other characteristic covered by applicable law.
Primary Location Address 1575 Northeast Expy NE
Job Family Coding