Remote - Outpatient Coding Auditor
总结：受启发。受到重视。属于。在艾莫里医疗保健，我们为你的职业旅程提供更好的福利，有价值的资源，持续的指导和领导计划，为所有类型的工作提供支持性环境，使你能够达到新高点，成为自己想要的样子。我们提供：· 从第一天开始的全面健康福利 ·学生贷款偿还援助与退还方案 ·家庭专注的福利 · 健康激励措施 ·持续的指引，发展，领导方案 · 以及更多位置：远程此职位是遥远；然而，申请人必须在以下州之一的物理位置和工作授权：阿拉巴马，阿肯色州，佛罗里达州，格鲁吉亚州，伊利诺伊州，路易斯安那州，密歇根州，新罕布什尔州，北卡罗来纳州，俄俄州，宾夕法尼亚州，南卡罗莱纳州，田尼西州，德克萨斯州，弗吉尼亚州，威士康星州职业描述：·负责实施并维护室外编码和退款合规计划。室外编程审计师将协助室外编辑管理员提供室外和紧急编码服务以及制定政策和程序。· 协调并对外科编码审计后进行持续审查，跟踪和趋势。教育新型外科编辑器关于文件要求，包括如何阅读外科医疗记录以及将相关的文档抽出。培养外科编译员根据 ICD-10-CM 指南，编程公约和与外科编程有关的编码诊所。· 培养室外患者编码人员对 CPT/HCPCS 指南，编程公约和 CPT 助理相关的室外手术编码。教育室外病人编码者有关相关的编码政策和程序。进行编码质量审查以确保准确的代码，APC 分配和准确的退款。总结质量监测结果以支持绩效评估和流程改善活动。· 研究并回答室外患者編码问题。工作每天未经过通知报告以确保及时编码。与个人合作伙伴一起审核质量审计结果，并遵循该组织的行为。
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Overview
Be inspired. Be valued. Belong. At Emory Healthcare
At Emory Healthcare we fuel your professional journey with better benefits, valuable resources, ongoing mentorship and leadership programs for all types of jobs, and a supportive environment that enables you to reach new heights in your career and be what you want to be. We provide:
· Comprehensive health benefits that start day 1
· Student Loan Repayment Assistance & Reimbursement Programs
· Family-focused benefits
· Wellness incentives
· Ongoing mentorship, development, leadership programs
· And more
LOCATION:
Remote
This position is remote; however, applicants must be physically located and authorized to work in one of the following states: Alabama, Arkansas, Florida, Georgia, Illinois, Louisiana, Michigan, New Hamsphire, North Carolina, Ohio, Pennsylavnia, South Caroline, Tennessee, Texas, Virginia, Wisconsin Description
JOB DESCRIPTION:
- Responsible for implementing and maintaining a compliance plan for outpatient coding and reimbursement. The Outpatient Coding auditor will assist the Coding Manager with Outpatient and Emergency Coding Services, and the development of policies and procedures.
- Develops education and Supervises programs regarding elements of the HIM Compliance program, such as appropriate documentation and accurate coding, to all appropriate personnel, including HIM coding staff, physicians, billing personnel and ancillary departments.
- Coordinates and conducts continual reviews, tracking and trending following the outpatient coding audits. Educates new outpatient coders on documentation requirements including how to read an outpatient medical record and extrapolate the required documentation with regards to outpatient surgery coding. Educate outpatient coders on ICD-10-CM guidelines, coding conventions and Coding Clinics pertinent to outpatient surgery coding.
- Educate outpatient coders on CPT/HCPCS guidelines, coding conventions and CPT Assistant pertinent to outpatient surgery coding. Educate outpatient coders with regards to pertinent coding policies and procedures. Conduct quality review of coding to assure accurate codes, APC assignment, and accurate reimbursement. Summarize quality monitoring results to support performance appraisals and process improvement activities.
- Research and respond to outpatient coding questions. Work the daily unbilled report to ensure timely coding. Review quality audit results with individual associate and conduct follow up review to assure resolution. Act as liaison with PFS department to resolve all outpatient coding review requests.
MINIMUM QUALIFICATIONS:
- Certified Coding Specialist (CCS) certification required. Minimum 4 years¿ experience with coding ICD-10 in an acute care setting with 2 years of experience in performing APC coding audits. Possesses knowledge of APC and grouping methodologies; in particular what diagnoses / procedures APC assignment.
- Must have basic computer skills in word processing and spreadsheet utilization. Must have excellent interpersonal skills to develop relationships necessary to facilitate and educate, and excellent prioritization and organizational skills.
PHYSICAL REQUIREMENTS:
(Medium): 20-50 lbs; 0-33% of the work day (occasionally); 11-25 lbs, 34-66% of the workday (frequently); 01-10 lbs, 67-100% of the workday (constantly); Lifting 50 lbs max; Carrying of objects up to 25 lbs; Occasional to frequent standing & walking, Occasional sitting, Close eye work (computers, typing, reading, writing), Physical demands may vary depending on assigned work area and work tasks. ENVIRONMENTAL FACTORS:
Factors affecting environment conditions may vary depending on the assigned work area and tasks. Environmental exposures include, but are not limited to: Blood-borne pathogen exposure Bio-hazardous waste Chemicals/gases/fumes/vapors Communicable diseases Electrical shock , Floor Surfaces, Hot/Cold Temperatures, Indoor/Outdoor conditions, Latex, Lighting, Patient care/handling injuries, Radiation, Shift work, Travel may be required. Use of personal protective equipment, including respirators, environmental conditions may vary depending on assigned work area and work tasks.
Additional Details
Emory is an equal opportunity employer, and qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, disability, protected veteran status or other characteristics protected by state or federal law.
Emory Healthcare is committed to providing reasonable accommodations to qualified individuals with disabilities upon request. Please contact Emory Healthcare’s Human Resources at . Please note that one week's advance notice is preferred.
Originally posted on Himalayas