Coding Quality Specialist

About the role

Perform coding audits to ensure compliance with federal and state guidelines such as Medicare and Medicaid. Conduct coding validation reviews focusing on Patient Safety Indicators (PSIs), Present on Admission (POA), Compliance, Clinical Documentation Improvement, Quality and Performance Improvement.

Responsibilities

• Perform coding audits to ensure compliance with federal and state guidelines such as Medicare and Medicaid.
• Conduct coding validation reviews focusing on Patient Safety Indicators (PSIs), Present on Admission (POA), Compliance, Clinical Documentation Improvement, Quality and Performance Improvement.
• Assist with internal and external coding education and feedback.

Requirements

• Experience working with CPT, ICD-CM diagnosis and procedure coding, E/M Documentation Guidelines, CCI edits, Medicare LCDs and NCDs, state and federal regulations.
• Knowledge of DRGs.

Qualifications

• Bachelor's degree or Associate's Degree with 5 years of coding and/or coding auditing experience.
• Five to seven years of work experience.
• Registered Health Information Administrator (RHIA) and/or Certified Coding Specialist (CCS) by American Health Information Management Association or Certified Professional Coder (CPC) through American Academy of Professional Coders (AAPC).

Skills

• Strong knowledge of CPT, ICD-CM, and E/M documentation.
• Understanding of CCI edits, Medicare LCDs, and NCDs.
• Knowledge of DRGs.

Benefits

• *Competitive salary
• **403b retirement plan options with company match
• Health & Wellness
• Tuition reimbursement
• Employee Assistance Program
• LTD: Long Term Disability
• Life Insurance Options
• Onsite Day care Program

Pay

The salary range is provided to comply with New Jersey Law. The rate of pay for each position will be determined based on a variety of factors including the candidate's relevant experience, qualifications, skills, etc.

Schedule

Not specified.