We’re searching for a Coding Quality Assurance Specialist II who works well in a fast-paced setting. Assigns and audits the accuracy of ICD-10-CM and CPT codes to ambulatory, emergency center, observation, and day surgery records for billing, research, and government and regulatory agencies.
Requirements
- Assigns ICD-10-CM, ICD-10-PCS, and CPT codes.
- Reviews and interprets documentation for appropriate diagnosis and procedures.
- Communicates with and provides feedback to the education team and/or provider.
- Identifies principle and secondary diagnoses and procedure codes from the electronic medical and/or paper record.
- Utilizes the encoder or coding books to correctly assign all ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures.
- Sequences diagnosis and procedures to generate appropriate ICD-10-CM, CPT, PCS, and DRG codes for billing.
- Queries physicians to obtain clarification or missing elements in the record preventing correct coding.
- Utilizes other available resources for assignment of codes as necessary (e.g., Epic, MIQS, Cardio IMS, Logician, and coding reference materials).
- Assists other coders in resolving coding problems/questions.
- Provides ICD-10 and CPT codes for physician research projects, and reporting purposes.
- Completes abstracts for records when appropriate.
- Identifies problem accounts.
- Corrects problem accounts.
- Participates in education and maintains certification.
- Assists in auditing records.
- Maintains concurrent coding for inpatient records.
