Coding Audit Liaison

Job description

Medix is hiring for REMOTE Pro Fee Coders! Qualified candidates must be experienced in EPIC and live in one of the following stes: Texas, Tennessee, Oklahoma, Louisiana, Indiana, Virginia, Nebraska, Florida, Georgia, South Carolina

Overview:

Responsible for ensuring the accuracy and completeness of clinical coding that results in appropriate reimbursement and data integrity and validation of the coded information for external and internal sources. Monitoring for changes in laws, rules, regulations, and code assignments that impact documentation and reimbursement is implicit. Identify, document and present any errors, irregularities or findings to physicians, senior management and staff. Serve as a resource/subject matter expert in regards to clinical compliance related issues, billing and coding rules and regulations, and interpret and communicate federal and state guidance/laws.

Reports to: Compliance/Auditing Manager

Responsibilities:

  • Conducts regular coding audits and coordinates ongoing monitoring of coding accuracy, providing continuous feedback to coding staff.
  • Serves as a resource for coding staff on organization-wide coding and documentation standards and guidelines.
  • Keeps abreast of coding guidelines and reimbursement reporting requirements.
  • Conducts trend analyses to identify patterns and variations in coding practices.
  • Follow coding compliance policies, official coding guidelines, regulatory requirements and internal policies and procedures affecting the coding process.
  • Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official coding guidelines.
  • Ensures safe care to patients, staff and visitors; adheres to all policies, procedures, and standards within budgetary specifications including time management, supply management, productivity and quality of service.
  • Promotes individual professional growth and development by meeting requirements for mandatory/continuing education and skills competency; supports department-based goals which contribute to the success of the organization; serves as preceptor, mentor and resource to less experienced staff.
  • Demonstrates commitment to caring for every member of our community by creating compassionate and personalized experiences. Models service standards by providing safe, caring, personalized and efficient experiences to patients and colleagues.

Qualifications:

  • Three (3) years of hospital or physician coding experience with one year HCC experience, preferred
  • EPIC experience
  • Extensive and recent surgical auditing histories/experiences
  • One of the following licenses are required: (CCS) or (CPC) or (RHIT) or (RHIA)