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Company: MedStar Medical Group
Location: Columbia, MD
Career Level: Associate
Industries: Not specified

Description

General Summary of Position
Performs coding quality reviews on medical records


Primary Duties and Responsibilities

  • Contributes to the achievement of established department goals and objectives and adheres to department policies, procedures, quality standards, and safety standards. Complies with governmental and accreditation regulations.
  • Assists with the development of system-specific coding guidelines as needed, and participates in Quality review team meetings.
  • Having knowledge of coding compliance plan, directs efforts to achieving plan by focusing on areas identified through coding reviews or targeted by management for improvement.
  • Helps select areas for focused quality reviews.
  • Maintains continuing education. Maintains credentials, for required job classification.
  • Meets established Quality, Accuracy, and Productivity standards as defined by policies.
  • Provides/identifies trends to provide feedback to appropriate sources. Identifies and assists in areas to provide additional training/education, under the direction of Manager.
  • Responsible for retrospective and concurrent reviews on coding staff.
  • Reviews, analyzes, and interprets medical record documentation to identify diagnoses and procedures. Assigns correct ICD and/or CPT diagnostic and procedural codes using standard guidelines and automated encoding software. Assigns the appropriate DRG.
  • Works closely with the Coding Quality Review team and outpatient coding staff to identify areas for improvement and problematic cases.
  • Participates in multi-disciplinary quality and service improvement teams

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    Minimum Qualifications
    Education

    • High School Diploma or GED required ; Bachelor's degree with successful completion of medical terminology, anatomy, physiology, and coding courses in ICD-10-CM and CPT-4 preferred

    Experience

    • 2 years outpatient coding experience, preferably in an acute care setting required; 1-2 years Auditing experience preferred

    Licenses and Certifications

    • CCS-P (Certified Coding Specialist- Physician) through AHIMA (American Health Information Management Association) required and either a CCS (Certified Coding Specialist) through AHIMA or COC (Certified Outpatient Coder) through AAPC (American Academy of Professional Coders) required
    • Certification as a Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) preferred

    Knowledge, Skills, and Abilities

    • Excellent verbal and written communication skills.
    • Excellent interpersonal skills, Good public speaker and presenter.
    • Basic computer skills preferred.


    This position has a hiring range of $30.67 - $54.48

     


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