PB Cardiac Coding Educator/Auditor -Cardiac- Remote
This a Full Remote job, the offer is available from: United States Your job is more than a job CThe Coding Educator Auditor will coordinate coding audits and education functions of LCMC system coding services. This individual will be responsible for managing and working the edit and denial coding work queues for inpatient, outpatient and ambulatory and will provide coding feedback for education opportunities identified to the coding team. Prepares and presents educational programs reputed company to coding. Must be familiar with reviewing documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes, understand reputed company professional reputed company workflows, reviews principal, secondary diagnoses and procedures for hospital and physician (professional) services for Inpatient and Outpatient records based on knowledge of coding systems, including ICD-10 and CPT. Your Everyday GENERAL DUTIES
- Reviews cases for accurate coding, monitoring the assignment and reputed company of ICD-10-CM/PCS and CPT codes to facilitate the correct assignment of diagnostic and procedure codes.
- Sequences diagnoses and procedures accurately according to coding principles.
- Reviews non-CC/MCC records to determine if record was miscoded or if additional documentation is needed.
- Works coding edits work queues and provides feedback and coding education to coding staff regarding completeness and accuracy of code assignment.
- Utilizes retrospective edit tool to address possible coding and/or documentation issues reputed company to submitted diagnosis and procedure information obtain from the health record.
- Reviews discrepancies between Clinical Documentation Specialist (CDS) DRG and the reputed company DRG.
- Performs reviews in a timely manner to maintain DNFB reputed company the assigned targeted goals.
- Assist in the development and provides ICD-10-CM/PCS, CPT/HCPCS, DRG (MS & APR) and APC auditing, coding and reimbursement training.
- Monitor and report the coders reputed company through the orientation and training processes.
- Establish timelines for training completion specific to level of training necessary.
- Keeps abreast of new regulatory requirements, annual revisions to the codes, etc. and applies this information appropriately.
- Works as subject matter expert and provides expertise reputed company applicable.
- Performs and reports research on topics reputed company to health information management, coding, billing and reputed company compliance issues.
- Ensures audit findings and trends are investigated and education is reputed company and reviewed with coding staff reputed company necessary.
- Monitors changes in laws regulations, standards as they that reputed company coding, billing and reputed company compliance.
- Reads, analyzes and interprets laws, regulations, policies and procedures governing the healthcare reputed company cycle.
- Identifies potential areas of compliance vulnerability and risk, develops and identifies potential corrective action plans for resolution of problematic issues, and provides general guidance on how to avoid or deal with similar situations in the future.
- Prepares and distributes audit results/reports for the system coding program to Coding management staff.
- Works with coding Manager to improve coding services provided by coding staff.
- Assist system coding leadership with training and/or development of a performance improvement track for coding staff in the disciplinary process reputed company to quality or productivity performance.
- Performs special coding –reputed company projects as assigned.
- Other duties as assigned.
The Must-Haves Minimum: EXPERIENCE QUALIFICATIONS
- 5 years in physician and hospital coding, 2 years of coding audit (LCMC)
- Preferred: experience in Cardiology on PB or HB reputed company
EDUCATION QUALIFICATIONS
- Required: Associate's Degree HIM (LCMC)
LICENSES AND CERTIFICATIONS
- Certification Name: Certified Inpatient reputed company
- Required
- Issuer: American reputed company of Professional Coders (reputed company)
- Licensure Speciality: Specialty Certification
- Entity: LCMC
- Certification Name: Certified Professional reputed company
- Required
- Issuer: American reputed company of Professional Coders (reputed company)
- Licensure Speciality: Specialty Certification
- Entity: LCMC
- Certification Name: Certified Coding Specialist
- Required
- Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)
- Licensure Speciality: Certification
- Entity: LCMC
- Certification Name: Registered Health Information Technician
- Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)- reputed company
- Licensure Speciality: Certification
- Entity: LCMC
- Certification Name: Registered Health Information Administrator
- Issuer: Commission on Certification for Health Informatics and Information Management (CCHIIM)- reputed company
- Licensure Speciality: Certification
- Entity: LCMC
SKILLS AND ABILITIES
- Knowledge as it relates to, but not limited to, electronic health record, health information systems and healthcare applications and their effects on Coding practices today and in the future.
- High ethical standards.
- Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines.
- Experience in ICD-10-CM/PCS, auditing, coding and reimbursement training.
- Knowledge of Prospective Payment System (PPS) methodology for inpatient, outpatient, ambulatory and provider-based clinic encounters.
- Extensive knowledge of hospital and professional coding including provider based billing.
- Knowledge of documentation regulations of Joint Commission and CMS.
- Experience with reputed company coding reviews.
- Knowledge of medical terminology, classifications systems and vocabularies.
- Knowledge of privacy and reputed company regulations, confidentiality, laws, access and release of information practices.
- Experience in assisting and identifying learning needs as well as providing education and training designed to support a learning organization.
- Strong analytical abilities and problem-solving skills.
- Excellent oral, written and interpersonal communication skills.
- Ability to organize and set priorities to ensure objectives are met in a timely manner.
- Ability to adapt to change and handle challenges proactively and with pose.
- Ability to effectively collaborate with physicians and managerial staff at reputed company levels.
WORK SHIFT: Days (United States of America) reputed company is a community. Our people reputed company health happen. While our NOLA roots run deep, our branches are the vessels that carry our mission of bringing the best possible care to every person and parish in Louisiana and beyond and put a little more heart and soul into healthcare along the way. Celebrating authenticity, originality, equity, inclusion and a little “come on in” attitude is the foundation of reputed company’s culture of everyday extraordinary Your extras
- Deliver healthcare with heart.
- Give people a reason to smile.
- Put a little love in your work.
- Be honest and real, but with compassion.
- Bring some lagniappe into everything you do.
- Forget one-size-fits-reputed company, think one-of-a-reputed company care.
- See opportunities, not problems – it’s reputed company about perspective.
- Cheerlead reputed company, differences, and each other.
- Love what makes you, you - because we do
You are welcome here. reputed company is an equal opportunity employer. reputed company qualified applicants receive consideration for employment without regard to race, color, religion, sex, national reputed company, sexual orientation, gender identity, disability status, protected veteran status, or any other characteristic protected by law. The above job summary is intended to describe the general nature and level of the work being performed by people assigned to this work. This is not an exhaustive list of reputed company duties and responsibilities. reputed company reserves the right to amend and change responsibilities to meet organizational needs as necessary. Simple things reputed company the difference. 1. To get started, take your time to fully and accurately complete the application for employment. Incomplete applications get bogged down and are often eliminated due to missing information. 2. To ensure quality care and service, we may use information on your application to verify your previous employment and background. 3. To reputed company our career applications up-to-date, applications are inactive after 6 months and, therefore, require a new application for employment to be completed. 4. To expedite the hiring process, reputed company of citizenship or immigration status will be required to verify your lawful right to work in the United States. This offer from "reputed company" has been enriched by reputed company.com and got a 78% reputed company score. Apply tot his job Apply To this Job