Shift Information: Days, Full Time
Minimum Years of Experience: 5
General Summary:
Performs data quality reviews on provider records to validate the ICD-10 codes, CPT codes and clinical documentation. Audits provider (physician and midlevel providers) records for accuracy of principal and secondary diagnosis and/or procedures and ensures compliance with all reporting and documentation requirements. Educates providers, coders and charge entry personnel on coding guidelines and documentation requirements. Provides coding support to BHMG coding and billing staff.
Responsibilities:
1. Audits medical records for accurate CPT coding assignment. Compiles reports with an analysis of findings from the medical record audits. Ensures the selected CPT code supports the clinical documentation contained in patient record. Consistently meets established productivity targets for record audits.
2. Audits all establish provider medical records on by annual basis:
a. Audits medical records for accurate CPT coding assignment.
b. Maintains audit lodge for BHMG
c. Compiles reports with an analysis of findings from the medical record audits.
d. Ensures the selected CPT code supports the clinical documentation contained in patient record.
e. Consistently meets established productivity targets for record audits.
3. Medical Staff Relationship:
a. Communicates (verbal/written) with providers to validate observations and suggest additional and/or more specific documentation
b. Designs and implements, in collaboration with the Revenue Cycle Manager specific tools to support medical record physician documentation.
c. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
d. Communicates to participants the benefits of complete clinical documentation.
4. Trains new employees on the BHMG revenue cycle team on coding and documentation guidelines
5. Assistant Revenue Cycle manager with evaluation of coding activities and the performance evaluation of the revenue cycle personnel as needed
6. Performs coding procedures as needed and warranted
7. Develops and implements plans in coordination with the Revenue Cycle Manager for both formal and informal education of providers.
8. All other duties as assigned within the scope and range of job responsibilities
Required Education, Credential(s) and Experience:
Preferred Education, Credential(s) and Experience:
...description other tasks may be assigned and expected to be performed. Shift Supervisors are responsible for directing, coordinating, training... ...the delivery and quality. Must be able to work 1st, 2nd or 3rd Shift, depending on the current operational needs. It is the...
...Are you a cat lover whos interested in a part-time position caring for homeless cats? Gifford Cat Shelter the first free-roam, no... ...resources permit, who will show compassion and understanding to every animal and person who comes their way, and who will perform tasks in an...
...Advancement Opportunities to grow into senior leadership roles within the organization. ~ Industry Exposure Work with high-profile sports brands, corporate partners, and industry professionals. ~ Collaborative and Professional Environment A results-driven team...
Job Overview: The Service Technician is responsible for coordinating and delivering service to fulfill customer maintenance contracts and repair needs. This role involves managing service level agreements (SLAs), anticipating customer needs, resolving issues, and optimizing...
...Consulting at CRA | Admired Leadership At CRA | Admired Leadership, we specialize in Leadership Development and Strategic Communication, advising organizations and senior leaders on their toughest internal communication problems. This can include changes in leadership...