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Lead Clinical Quality Coder/Auditor

Company: Carolinas HealthCare System
Location: Charlotte
Posted on: December 5, 2019

Job Description:

Lead Clinical Quality Coder/Auditor Date: Nov 18, 2019 Location: Charlotte, NC, US, 28273 Company: Atrium Health Job Req ID: ****** Position Number: ******** Employment Type: Full Time Shift: Day Shift Details: Shift details to be discussed in interview Standard Hours: 40.00 Department Name: Medical Records Location: CHS Corporate Operations Location Details: Arrowpoint Carolinas HealthCare System is Atrium Health. Our mission remains the same: to improve health, elevate hope and advance healing - for all. The name Atrium Health allows us to grow beyond our current walls and geographical borders to impact as many lives as possible and deliver solutions that help communities thrive. For more information, please visit ************************************ Job Summary To support World Class Service Lines, and with Documentation Excellence (DE) as the primary objective, the Lead Clinical Quality Coder/Auditor performs coding audits, shares results with physicians, physician leaders, and HIM/DE leadership, and trains new Clinical Coders. Reviews clinical documentation and diagnostic results as appropriate to extract data and apply appropriate codes for billing, internal and external reporting, research and regulatory compliance. This position also enjoys the advantages of free CEUs, and one paid professional membership. This positon also has incentives available! Essential Functions Trains and orients new team members according to CHS specific guidelines while utilizing the facility encoder, HBOC and EMR. Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting. Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance. Assists Coding leadership with continuing education for all coding personnel. Facilitates peer review and training for Coding personnel. Prepares and performs coding audits to ensure consistent, high quality coding, MS-DRG, APC, Present on Admission, Patient Safety Indicators, Hospital Acquired Conditions and Core Measures. Resolves error reports associated with billing process, identifies and reports error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors. Assists with rebilling accounts when necessary. Coordinates flow of information between coding and other departments, which include Medical Records, Medical Audit, Patient Accounts, Performance Improvement, Corporate Compliance, RAC, DA2, Clinical Care Management and other coding reviews as requested. Reviews inpatient and/or outpatient medical records to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes and POA indicator for all diagnosis codes. Physical Requirements Must be able to concentrate and sit for long periods of time while reviewing electronic health records. Daily and weekly deadlines must be met in a fast-paced office environment and/or at home environment. After a probationary period, this position becomes 100% remote. Education, Experience and Certifications. High School Diploma or GED required; Bachelor's Degree preferred. Advanced knowledge in Medical Terminology, Anatomy and Physiology and Pharmacology. 5 years acute care facility coding and/or supervision required. Ability to work effectively as a trainer/educator while communicating effectively and patiently. Previous auditing and training experience preferred. Current RHIA, RHIT, CPC, CPC-H, CIC or CCS required plus a passing score on the CHS Coding test. At Atrium Health, formerly Carolinas HealthCare System, our patients, communities and teammates are at the center of everything we do. Our commitment to diversity and inclusion allows us to deliver care that is superior in quality and compassion across our network of more than 900 care locations. As a leading, innovative health system, we promote an environment where differences are valued and integrated into our workforce. Our culture of inclusion and cultural competence allows us to achieve our goals and deliver the best possible experience to patients and the communities we serve. Posting Notes: Not Applicable Carolinas HealthCare System is an EOE/AA Employer Nearest Major Market: Charlotte Job Segment: Clinic, Audit, Physiology, Medical, Healthcare, Quality, Finance

Keywords: Carolinas HealthCare System, Charlotte , Lead Clinical Quality Coder/Auditor, Accounting, Auditing , Charlotte, North Carolina

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