Duties/Responsibilities:
·
Continuously provides ICD-CM coding and
documentation coaching and creates corrective action plans, as needed.
·
Identifies and develops best practices based
on clinical analyses and providers’ documentation, coding, and reporting
performances.
·
Meets with provider network groups to
reinforce diagnosis coding guidelines to ensure providers achieve coding
compliance.
·
Be able to create complex reports of audit
findings for providers
·
Keeps abreast of documentation and coding
regulations and creates meaningful action plans and educational materials based
on data analysis to help improve providers’ documentation and coding
·
Collaborates with other departments to
maintain and/or improve Healthfirst HEDIS, QARR, STARS, and other publicly
reported ratings
·
Additional duties as assigned
Requirements:
·
Experience coding education in a hospital,
physician, or insurance environment, five years’ experience preferred
·
Experience coding Evaluation and Management
codes (SOAP notes) for different specialties, five years’ experience preferred
·
Experience coding in a hospital, physician,
or insurance environment, five years’ experience preferred
·
High School diploma or GED, Bachelor’s Degree
Preferred
·
Certified Coding Profession certification:
CPC, CRC and CDEO
·
Optional Certified Coding Profession
certification: CPMA