A large healthcare organization in San Diego seeks an Analyst/Coding Compliance Coordinator. This position, under the supervision of the Coding Compliance Supervisor, will help coordinate the Coding Compliance Audit process. Coding audits will encompass all areas of coding & abstracting, & includes Peer Review & reviewing of external audit findings. Coding of diagnoses & procedures is performed on inpatient & outpatient encounters. It includes capturing of co-morbidities & complications, procedure code modifiers, appropriate sequencing, assigning DRG's, & APR-DRG's. Data specific to each visit is abstracted into Epic database for the revenue cycle, research, OSHPD, data comparison studies, & medical record reviews. Position will help educate coders, CDI specialists & providers in ensuring their coding practices are in compliance with company’s standards. Position also works closely with documentation improvement audits or projects with CDI & HID System teams, as needed. Will serve as a back-up to coding, as needed.
Associate's Degree (Minimum)
Area of Study in a Field Related to the Position
3 Years of Experience (Minimum)
5 Years of Experience (Preferred)
(Minimum) Three years inpatient coding experience.
(Minimum) Possesses strong communication skills adaptable to a wide variety of interpersonal encounters with various health care professionals.
(Minimum) Understanding of advanced coding principles and reimbursement methodology.
(Minimum) Expert knowledge of ICD-9-CM and CPT-4 coding nomenclature as well as medical record science, medical terminology, anatomy/physiology, pathophysiology, data entry/display, and various grouper programs (MS DRG's, APCs, APR-DRG's).
(Minimum) Ability to code all types of patient records, with the ability to cross train coding staff.
(Minimum) Strong Computer/PC skills essential.
(Preferred) Experience and understanding of ICD-10 coding and training.
(Preferred) Experience with APR DRG reimbursement system preferred.
(Preferred) Experience with 3M encoder.
(Preferred) Experience with working within an Electronic Medical Record environment, preferably Epic.