Job Description:

• Coordinate coding audits and education functions of LCMC system coding services.
• Manage and work the edit and denial coding work queues for inpatient, outpatient and ambulatory.
• Provide coding feedback for education opportunities identified to the coding team.
• Prepare and present educational programs related to coding.
• Review documentation to assign appropriate CPT/HCPCS and ICD-10-CM-PCS diagnosis codes.
• Sequence diagnoses and procedures accurately according to coding principles.
• Review non-CC/MCC records to determine if record was miscoded or additional documentation is needed.
• Works coding edits work queues and provide feedback and coding education to coding staff regarding completeness and accuracy of code assignment.
• Perform reviews in a timely manner to maintain DNFB within the assigned targeted goals.
• Assist in the development and provides ICD-10-CM/PCS, CPT/HCPCS, DRG (MS & APR) and APC auditing, coding and reimbursement training.
• Monitor and report the coders progress through the orientation and training processes.
• Keeps abreast of new regulatory requirements, annual revisions to the codes, etc.

Requirements:

• 5 years in physician and hospital coding
• 2 years of coding audit
• Experience in Cardiology on PB or HB side
• Knowledge of ICD-10-CM, ICD-10-PCS, CPT/HCPCS, MS-DRG, APR-DRG and APC coding principles and guidelines
• Experience with concurrent coding reviews
• Knowledge of documentation regulations of Joint Commission and CMS
• Strong analytical abilities and problem-solving skills.
• Excellent oral, written and interpersonal communication skills.

Benefits:

• Health insurance
• Paid time off
• Professional development opportunities