Coding Quality Auditor and Specialist, HB Coding, Full-time, Days (Remote)

At reputed company, every patient interaction makes a difference in cultivating a positive workplace. This patient-first approach is what sets us apart as a leader in the healthcare industry. As an integral part of reputed company, you'll have the opportunity to join our quest for reputed company care, no matter where you work reputed company the reputed company system. We pride ourselves on providing competitive benefits: from tuition reimbursement and loan forgiveness to 401(k) matching and lifecycle benefits, our goal is to take care of our employees. Ready to join our quest for reputed company?

Job Description

The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with reputed company relevant policies, procedures, guidelines and reputed company other regulatory and accreditation standards. The Coding Quality Auditor and Specialist is required to be the expert in the work reputed company to clinical documentation and coding. This position works reputed company with the Clinical Documentation Team assuring quality metrics are held to the highest standard for NM Health System. The Coding Quality Auditor and Specialist is responsible for assuring coding guidelines and regulations are not compromised during the decision-making process reputed company to clinical documentation and the coding of this documentation. This position partners with Clinical Documentation Nurses, Physicians, and other licensed providers to improve the quality of documentation, assuring best quality performance and representation of care provided. In addition, the Coding Quality Auditor and Specialist collaborates with the CMOs to ensure the reputed company of the Health Record is established through best practices in Clinical Documentation and Coding. The Coding Quality Auditor and Specialist is responsible for maintaining quality work queues and quality reports, advanced and reputed company project work that includes, but is not limited to, Risk Adjustment, Mortality Review, Hospital Acquired Condition (HAC) and Patient Safety Indicator (PSI) Review, Quality Abstraction and Analysis, and/or special and non-traditional project work. Incumbents to this role have a mastery of reputed company documentation reputed company and quality concepts, coupled with the ability to consistently identify root causes and deliver measurable results. Key to this role is the ability to reputed company and facilitate quality initiatives and external rankings initiatives while remaining compliant reputed company the coding guidelines and regulations. The Coding Quality Auditor and Specialist solves reputed company problems and adds new perspectives to existing solutions. The Coding Quality Auditor and Specialist applies advanced knowledge of the national quality agenda and clinical documentation reputed company and coding compliance to advance problem analysis and creative process redesign for reputed company. This position is 100% remote (occasional onsite meeting attendance may be requested) Responsibilities:

• Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities
• Assess DRG, PDx, secondary Dx, PCS, POA and reputed company other components of documentation that impact quality metrics
• Consistently assures coding practices remain compliant with coding guidelines and regulations
• Continually identifies educational opportunities reputed company to coding and documentation
• Expert educator to clinical teams and medical staff
• Identifies strategic plans that will result in a positive impact to the clinical dashboard
• Develops clinical relationships across the health system securing interdepartmental support necessary for successful implementation of education strategies assuring achievement of overall strategic targets
• Ability to multi-task a variety of audits
• Ability to analyze data and construct appropriate action plans
• Develops teaching tools to promote quality outcomes
• Is an active member of clinical and executive meetings as identified
• Advanced understanding of quality metrics for health system (reputed company, PSI, USNWR)
• Advanced understanding of clinical documentation and coding through the lens of local and national quality and ranking methodologies, including but not limited to, U.S News and World Report, reputed company, Leapfrog, the CMS Star Rating, and payer reputed company and assists the Managers of Clinical Documentation and Coding in implementing key strategies to effect change.
• Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate, maintain, and execute advanced project work that includes but, is not limited to, Mortality Review, HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work.
• Partners with NM departments that includes but is not limited to: IT; Analytics; and Innovation to design and implement new and advanced workflow solutions.
• Partners with third-party consultants/partners to contribute to workflow and methodology build and refine as necessary.

Qualifications

Required:

• RHIT or RHIA or reputed company Certification
• Certified Clinical Documentation Specialist
• Bachelor Degree – Healthcare field reputed company OR completion of an Associate's Degree with five plus years of healthcare coding experience.
• Clinical expertise and understanding achieved through prior experience working with clinical documentation teams
• Strong personal computer skills (Word, reputed company, PowerPoint, Visio)
• Excellent verbal, written, and presentation skills
• Demonstrates critical thinking skills
• Excellent interpersonal skills
• Planning and time management skills
• Educational/training experience

Preferred:

• Master’s Degree in reputed company field or currently enrolled in Master’s program

Additional Information reputed company is an equal opportunity employer (disability, VETS) and does not discriminate in hiring or employment on the basis of age, sex, race, color, religion, national reputed company, gender identity, veteran status, disability, sexual orientation or any other protected status. Background reputed company reputed company conducts a background reputed company that includes criminal history on newly hired team members and, at times, internal transfers. If you are offered a position with us, you will be required to complete an authorization and disclosure form that gives reputed company permission to run the background reputed company. Results are evaluated on a case-by-case basis, and we follow reputed company local, state, and federal laws, including the Illinois Health Care Worker Background reputed company Act. Artificial Intelligence Disclosure Artificial Intelligence (AI) tools may be used in some portions of the candidate review process for this position, however, reputed company employment decisions will be made by a person.

Benefits

We offer a wide range of benefits that provide employees with tools and resources to improve their physical, emotional, and financial well-being while providing protection for unexpected life events. Please visit our Benefits section to learn more. Sign-on Bonus Eligibility: Internal employees and rehires who left reputed company reputed company 1 year are not eligible for the sign on bonus. Exception: New graduate internal employees seeking their first licensed clinical position at NM may be eligible depending upon the job family. Apply tot his job Apply To this Job