Inpatient Lead Coder (Remote)
Job Description
- Actively participates in the review and improvement of processes and services
- Responsible for analyzing weekly/monthly quality data to identify trends by vendor and coder/auditor that need to be addressed
- Prepares and presents coder education as needed based on trends and/or problematic areas identified by HSCs or corporate HIM.
- Collates and presents quality trends and findings to the VRM management team, Vendor teams
- HSC coding leadership and HIM Leadership
- Monitors and ensures vendor staff adhere with coding guidelines and policies
- Demonstrates and applies expert level knowledge of medical coding practices and concepts; assists in ensuring vendor coders adherence with coding guidelines and policy
- Assists in managing coding vendor daily workflow (e.g., work queues,/worklists, turnaround times, quality)
- Performs quality reviews of inpatient and/or outpatient records as needed (including concurrent coding); where applicable, validates physician queries, ICD-10-CM, ICD-10-PCS, CPT/HCPCS level II Codes as well as facility E/M levels and injection/infusion procedure codes assigned by vendor coders
- Validates accuracy of codes assigned by CAC (Computer Assisted Coding) tool; assists in monitoring coders CAC adoption behavior; assists in identifying precision and recall improvement opportunities
- Monitors and assists the vendors in the monthly random, focus, prebill review, and Ad Hoc quality review process
- Submits and reviews coding appeals as appropriate
- Monitors and maintains the communication logs between the HSCs and the coding vendors, including but not limited to the mailbox escalations, CIMRR logs and VRM vendor error logs
Qualifications
- Undergraduate degree in HIM/HIT preferred.
- Management/Supervisory experience in healthcare related field required
- Minimum of 2 years acute care inpatient and/or outpatient coding experience required
- Coding auditing/monitoring experience strongly preferred
- Associate Degree
- Certified Coding Specialist (CCS), or Registered Health Information Administrator (RHIA), or Registered Health Information Technician (RHIT)
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Meet Your Recruiter
Jonathan Allon
Director of Franchise Operations
Jon Allon is from Los Angeles, CA originally and now calls San Diego home. He has a natural love for connecting with people, talking, learning, and creating relationships. He is a dedicated professional with a solid background in high-volume office environments, focused on delivering exceptional support for healthcare professionals. He is a personable and communicative individual with a friendly demeanor and sound judgment to handle diverse daily tasks with minimal oversight.
Jon is very excited to work with an industry leader like All Med Search who he believes has the same goals and values that are instilled in him: Quality, passion, strategic intent, persistent sourcing, service excellence and social responsibility. To Jon, success is setting a goal, committing to that goal, developing your skills to reach that goal, doing your very best and not stopping once the goal is reached.