Under general supervision, this role is responsible for assisting with analyzing medical record documentation against billing documentation guidelines and educating departments and faculty on appropriately documenting the medical record for services provided to patients.
The position conducts quality reviews of coding activities to ensure documentation supports coding rules and coding selection in accordance with coding and billing standards. It also researches and resolves coding-related denials, reviews services in charge review to identify coding issues and trends, and recommends changes to policies and procedures to improve professional fee coding and data management.
Additional responsibilities include providing feedback to providers based on quality reviews, developing and delivering training on documentation, billing, and coding, providing education to end users and ancillary staff, reporting compliance issues, collaborating with Compliance on corrective action plans, and serving as a resource for coding activities within assigned departments and subspecialties.
Knowledge of Federal, State, and payer regulations.
Proficiency in ICD-10 and CPT coding.
Strong leadership skills with the ability to apply judgment and make informed decisions.
Ability to manage multiple responsibilities while meeting objectives and working effectively with teams.
Strong verbal, written, and interpersonal communication skills.
Detail-oriented with meticulous planning and organizational skills.
High school diploma or GED required.
Accreditation from a professional coding organization such as AHIMA, AAPC, RHIT, RHIA, or CCS certification required.
Five years of related experience required.
Location
San Antonio, Texas, US
Employment Type
Full-time
Experience Level
Senior
Remote work allowed
No
Posted
1 month ago