Under general supervision, this role assists with analyzing medical record documentation against billing documentation guidelines and educates departments and faculty on properly documenting the medical record for patient services.
Key responsibilities include:
- Conducting quality reviews of coding activities to ensure documentation supports coding rules and coding selection in accordance with coding and billing standards
- Researching and resolving coding-related denials as reported
- Reviewing and resolving services in charge review to identify coding issues and trends
- Recommending changes to policies and procedures to improve professional fee coding and data management
- Maintaining strict confidentiality in all daily work activities
- Providing feedback to providers based on quality reviews to minimize errors
- Developing and delivering training on documentation, billing, and coding to inform providers of guideline updates and activities that may prevent denials or increase revenue
- Providing education regarding coding, billing, and documentation to end users and ancillary staff as needed
- Reporting compliance issues identified through reviews and collaborating with Compliance on corrective action plans
- Serving as a resource for coding activities within assigned departments and/or subspecialties
- Performing other duties as assigned
Requirements & Qualifications
Requirements include:
- Knowledge of federal, state, and payer regulations
- Proficiency in ICD-10 and CPT coding
- Strong leadership skills and sound judgment
- Ability to manage multiple responsibilities while meeting objectives and working effectively with teams
- Strong verbal, written, and interpersonal communication skills
- Detail-oriented with strong planning and organizational skills
- High school diploma or GED required
- Accreditation from a professional coding organization such as AHIMA, AAPC, RHIT, RHIA, or CCS required
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Intermediate Level
Remote work allowed
No
Posted
1 month ago