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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, Nevada, Oklahoma or Georgia to further be considered for this position.
Selected by CHRISTUS Health Coding Leadership to focus coding skills and expertise on internal departmental audits in support of Coding Operations Department, business needs. Coding Quality Specialist will complete internal, facility level, coding audits and report in a format that provides professional services and feedback to coding staff and any external clients.
Coding Quality Specialist will demonstrate high-quality knowledge and understanding of ICD-10-CM, ICD-10-PCS and/or CPT/HCPCS coding guidelines and practices for acute care reimbursement, while maintaining a 95% audit accuracy rate. The Quality Specialist will have a strong working knowledge of CHRISTUS Health applications in addition to other applicable software, required for auditing.
Coding Quality Specialist will receive work assignments based on departmental needs, including but not limited to PEPPER Audits, new hire pre-bill audits and remediation audits. Coding Quality Specialists will audit 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 CHRITSUS Health Departments, including but not limited to the Regional Coding Managers, HIM, Education Department, Clinical Documentation Specialist to ensure accurate and complete audit results. Coding Quality Specialist will also assist in other areas of the Coding Operations Department, as requested by leadership.
Coding Quality Specialist will report directly to the Specialty Coding Manager, with additional leadership from the Director of Coding Operations and System HIM Director.
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