|Title:||HIM Coding Review Manager/Coder Trainer Auditor|
|Department:||Health Information Management|
(reason: Travel between Medical Center facilities may be required, in addition to the “Regional Offices”, but this is a completely remote role.)
* Must have a passing score on the coding test. Minimum score 80% **
**This position will not train** - CTA
Official Job Title: Coding Review Manager
Minimum of 4+ years of Acute Care: Inpatient, Outpatient, MS-DRG, HCC and APC coding required.
Coding Review Manager also requires 4+ years supervisory experience in a Medical Records department, or other senior role in auditing or coding. In-depth understanding of all state/federal regulations and CMRI, NCQA, JCAHO, and CMS.
Demonstrated strong interpersonal communication skills.
Working knowledge of State/Federal, CMRI, NCQA, JCAHO, and CMS Regulations.
Educational Requirement: High school diploma or equivalent.
Certified coding Specialist (CCS). May also possess Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) or RHIA/RHIT credentials (for Coding Review Manager). Electronic Health Record experience preferred.
Must possess a proficient understanding of the Inpatient and Outpatient Prospective Payment Systems (IPPS/OPPS), Medical Severity Diagnosis-Related Groups (MS-DRG), National Correct Coding Initiative Edits (NCCI), ICD-10-CM Official Guidelines for Coding and Reporting, and Coding Clinic.
Must be able to work in a Labor-Management Partnership environment.
The Coding Review Manager has the following duties:
Coordinates monitors and audits all lines of hospital business for coding, to include: all outpatient, inpatient, HOV, ED and Ambulatory surgery cases.
Monitors the accuracy and quality of coding assignments, Present on Admission (POA) indicators and conducts internal coding audits.
Responsible for being the regional coding contact person for the HIM department to work with Clinical Documentation Specialists to support education and coding requirements.
Develops reports of audit results to Regional and facility staff and Senior Management. Helps set the direction for coding and compliance education and focused projects related to the Client's (Clients' Health Connect-EHR). Run audit selection lists and reports as well as providing education, feedback and guidance based upon data mining activities and processes.
May provide (limited) oversight of the accuracy of MIRCal data for OSHPD reporting.
Collaborates with the Coding Supervisors and Campus Coding Managers to provide input related to coding accuracy; (most particularly related to ICD-10 Coding).
Top 3 - 5 Daily responsibilities
Eventually they will audit the Dual Coding
110 Charts a month. Mixed IP and OP.
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