Inpatient Lead Coder (Remote) - All Med Search

• Actively participates in the review and improvement of processes and services
• Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed
• Prepares and presents coder education as needed based on trends and/or problematic areas identified by HSCs or corporate HIM.
• Collates and presents quality trends and findings to the VRM management team, Vendor teams
• HSC coding leadership and HIM Leadership
• Monitors and ensures vendor staff adhere with coding guidelines and policies
• Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
• Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality)
• Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes as well as facility E/M levels and injection/infusion procedure codes assigned by vendor coders
• Validates accuracy of codes assigned by CAC (Computer Assisted Coding) tool; assists in monitoring coders CAC adoption behavior; assists in identifying precision and recall improvement opportunities
• Monitors and assists the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process
• Submits and reviews coding appeals as appropriate
• Monitors and maintains the communication logs between the HSCs and the coding vendors, including but not limited to the mailbox escalations, CIMRR logs and VRM vendor error logs

Qualifications

• Undergraduate degree in HIM/HIT preferred.
• Management/Supervisory experience in healthcare related field required
• Minimum of 2 years acute care inpatient and/or outpatient coding experience required
• Coding auditing/monitoring experience strongly preferred
• Associate Degree
• Certified Coding Specialist (CCS), or Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT)

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