Coding Quality Specialist I
Company: Christus Health
Location: Irving
Posted on: October 7, 2024
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Job Description:
Description
Summary:
*CHRISTUS Health System offers the Coding Quality Specialist
-position as a remote opportunity. Candidate must reside in the
states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to
further be considered for this position.*
The Coding Quality Specialist reports to the HIM Coding Education
Manager to perform internal departmental coding reviews in support
of the Coding Operations Department's business needs. This position
contributes to coding education and training and facilitates
pre-bill and cross-training in order to advance and keep current,
the skillset of our HB coding associates. The Coding Quality
Specialist demonstrates high caliber specialty knowledge and
understanding of current ICD-10-CM, ICD-10-PCS and/or CPT/HCPCS
coding guidelines and practices in both the inpatient and
outpatient care settings, maintaining a 95% accuracy rate.
Assignments are based on departmental needs and include but are not
limited to PEPPER reviews, new hire and standard pre-bill reviews,
remediation and performance improvement reviews and those required
for corrective action plans, query quality and other focused
reviews as may be needed. The Coding Quality Specialists will
review for quality in regards to POA assignment, principal and
secondary diagnosis code assignment, procedural coding, modifier
usage, discharge disposition verification, query opportunities and
DRG and APC accuracy. Coding Quality Specialist will work
collaboratively with various CHRISTUS Health Departments, including
but not limited to the Regional Coding Managers, HIM, Compliance,
and Clinical Documentation Specialist to ensure feedback is shared
and reported for education and training purposes. The Coding
Quality Specialist will also assist in production coding as may be
required and in order to keep current skills up-to-date and
accustomed to changing technology and workflows. The Coding Quality
Specialist will report directly to the HIM Coding Education
Manager, with additional leadership from the Director of Coding
Operations and System HIM Director.
Responsibilities:
Requirements:
Work Type:
Full Time
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Keywords: Christus Health, Lewisville , Coding Quality Specialist I, Other , Irving, Texas
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