Quality Assurance Auditor
Where
- Franklin, TN
What you'll be doing
- Perform a detailed review of medical records to ensure the ICD-9-CM code was coded correctly during the coding process. Document and audit findings in database and MS Excel. Increase coding accuracy and capture rate of coders. Review and analyzes medical record documentation in accordance with established industry and government regulations, and departmental policies and procedures. Ensure the accuracy, integrity and quality of coding selections per established regulations and they are supported by documentation, within the body of the medical record. Execute the tactical day-to-day activities of the quality assurance process. Perform, summarize and report on the quality assurance audits. Create performance improvement plan as needed. Mastery of optum coding guidelines, applications and practices. Subject matter expert. Review QA findings with individual coders. Provide coaching and mentorship. Analyze QA results and create reports. Collaborate with training department to develop training materials based upon QA results. Communicate with management regarding audit findings.
What your background should be
- RHIT or RHIA is required and also CPC, CPC-H, CCS, CCA considered with minimum 5 years risk adjustment coding experience. 3 years inpatient coding in an acute care facility. Proficient in MS Office. Previous inpatient coding auditing experience is needed.
Required Schooling / Training
- Bachelor degree required.
Who is the client company
- IT is a diversified managed healthcare company.
- If you are interested in this position, send your resume to apply@kochdavis.com
