Coding Quality review Specialist
- Nashville, TN
- Permanent
- Full-time
- Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs
- Assist in ensuring HSC coding staff adherence with coding guidelines and policy
- Demonstrate and apply expert level knowledge of medical coding practices and concepts
- Participate on special reviews or projects
- Maintain or exceed 95% productivity standards
- Maintain or exceed 95% accuracy
- Meet all educational requirements as stated in current Company policy
- Review all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
- Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's)
- RHIA, RHIT and/or mandatory
- IP Coding Auditor for MS-DRG
- Must have experience in all body systems - cannot be specialized in one area i.e., Orthopedic etc.
- Must have 3 years of hands on coding MS-DRG auditing in a hospital setting.
- Cannot be a recent graduate needs experience ideally 10+ years of coding and 3 years of auditing in MS-DRG Inpatient medical records.