Coding Quality and Compliance Coordinator Job in Phoenix, Arizona US
Coding Quality and Compliance Coordinator
Coding Quality and Compliance Coordinator Date: Mar 19, 2012 Location: Phoenix, AZ, US Job Posting Number: 11548BR Job Posting Title: Coding Quality and Compliance Coordinator Job Posting Category: Accounting/Billing/Finance Work Site: AZ - Phoenix Campus Building: Support Services Building Department: Coding Operations Job Description: Is the coding subject matter expert for coding staff, members of the management team, and for other Sections within the Revenue Cycle, as well as multiple areas outside the Revenue Cycle including specific physician practices and the Legal Department. Leads and participates on projects and multi-disciplinary workgroups related to internal quality reviews, compliance initiatives, reporting initiatives, benchmarking, research and analysis, continuous improvement opportunities, and other customer requested projects. Maintains expert knowledge of coding work flow and optimizes use of available technology. Is an expert in navigating the electronic medical record and all supporting information management and billing systems. Actively communicates and presents pertinent information to various audiences. May perform functional activities of the work team. Demonstrates expert job knowledge and applies current coding and billing regulations, policies, processes and procedures with effective decision-making and problem solving skills. Abstracts data in compliance with national, regional, and local policies, and interprets and reviews medical record documentation to assign accurate CPT-4 or ICD-9 diagnosis and procedure codes for clinic and hospital outpatient cases or ICD-9 diagnosis and procedure codes and MS-DRG for hospital inpatient cases or CPT-4 coding of Evaluation and Management services. Clarifies physician documentation as appropriate. Understands and applies medical terminology, anatomy, physiology, surgical technology, pharmacology, and disease processes. Demonstrates knowledge of sequencing diagnoses and procedure codes outlined in the AMA CPT instructions, CPT Assistant, ICD-9-CM Official Coding Guidelines, Uniform Hospital Discharge Data Set, CMS guidelines and other resources as applicable. Provides education and support to clinical areas in regard to appropriate documentation and coding of services to achieve accurate billing. Clarifies physician documentation by utilizing facility established query process. Meets established coding and abstracting quality and productivity standards.