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Documentation and Coding Compliance Manager Job in Columbia, AA

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Job Title: Documentation and Coding Compliance Manager

Employer:MedStar Health
Job Location:Partial Remote
Skills:Pro-fee coding,CPC,strong oral and written communication skills,Strong organizational and report writing skills.
Required Certifications:CPC
Location:10890 Grantchester Way Columbia 21044, AA, US
Date Posted:7/1/2021
Primary Duties and Responsibilities
    • Assists Director and appropriate practice associates to highlight provider performance issues that lead to documentation and coding concerns, and ensure that practices have a process to address chronic poor performers.
    • Assists in the development and implementation of documentation and coding audit and training procedures and schedules, including training goals, protocols and process for audits/reviews, audit scoring methodology, and any related work flow processes.
    • Assists in the development and implementation of monitoring activities necessary to ensure ongoing compliance with appropriate recordkeeping.
    • Conducts new employee orientation as relates to compliance matters.
    • Conducts provider on-boarding as relates to appropriate recordkeeping, including education, auditing and other monitoring activities.
    • Contributes to OCBI reporting initiatives, including the Audit and Compliance Committee reports and OCBI dashboard reporting.
    • 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.
    • Educates providers, through direct interaction and print communications, to promote their understanding of recordkeeping and coding deficiencies, and ways to improve performance.
    • Engages directly with providers during the training, auditing and monitoring processes to ensure their understanding of the process, timeline, and outcomes management activity.
    • Ensures that all MedStar Health providers understand MedStars documentation and coding review program goals and procedures, through education, auditing, and re-training as needed.
    • Ensures that MedStar Health providers meet all regulations governing recordkeeping, through education, auditing, and re-training as needed.
    • Manages MedStars internal documentation and coding review program including audit and training schedules, and vendor relationships.
    • Participates in multidisciplinary quality and service improvement teams as appropriate. Participates in meetings, serves on committees and represents the department and hospital/facility in community outreach efforts as appropriate.
    • Performs other duties as assigned.
    • Prepares reports and presentations as necessary to support audit, training and other assigned work.
    • Tracks external audits and assists with development of response strategy and communication.
    • Understands and tracks current federal, state and other applicable regulations that govern appropriate recordkeeping, coding and billing.
    • Verifies that coding of documentation meets all federal and state regulations and guidelines, and meets MedStar Health revenue cycle goals for appropriately capturing services and charges, through education, auditing, and re-training as needed.



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