Certified Coding Specialist - MYCS

Mon Yough Community Services, Inc.; McKeesport (Allegheny County); On-site; USD 50,000 - 70,000; Full time

Job summary

Mon Yough Community Services, Inc. in McKeesport, PA, is seeking a Coding Auditor. The successful candidate will review medical records for coding accuracy, perform quality assurance audits, and develop training for coding staff. Candidates should have a strong background in ICD-10 and CPT coding and the ability to communicate effectively with various departments.

Required qualifications include an Associate's Degree from an accredited program and certification in coding. This role plays a vital part in ensuring timely and accurate billing.

Qualifications

• Graduate of an AHIMA-certified Coding Program.
• 5 years total experience in coding.
• Certification as a Professional Coder or equivalent.

Responsibilities

• Review and evaluate medical records for accurate coding.
• Perform internal quality assurance audits.
• Develop training plans for coding staff.

Skills

Attention to detail

Knowledge of ICD-10 and CPT coding

Communication skills

Training abilities

Education

Associate's Degree in Health Information Management

AHIMA-Certified Coding Program

Job description

Job Description

SPECIFIC RESPONSIBILITIES:

• Review and evaluate focused UPMC Community Behavioral Health medical records for accurate coding to ensure that all documented principal and secondary diagnoses, complications and co-morbidities, and procedures are accurately coded.

Perform internal quality assurance audits on community behavioral health records.

Summarizes findings and report these to the Manager.

Identify areas of coding weakness and develop training plans to address these.

Provide audit findings to compliance staff members to review.

Discuss audit findings with each coder individually as needed for further clarification.

Develop and present community behavioral health coding seminars for continuing coder education.

Assist with identifying continuing education needs and opportunities. Coordinate continuing education by contacting clinical staff and arranging in-services for the coding staff, as well as keeping current with other education being offered by AHIMA and other professional organizations.

Assist with training new staff for community behavioral health coding.

Also coordinate re‑training of staff as needed due to coding changes/updates, results of audits, etc.

Communicate effectively with Patient Business Services, physicians and ancillary departments as necessary to submit accurate and timely billing.

Review the discharge summary, history and physical, physician progress notes, consultation reports, to validate accurate diagnosis and appropriate level of care coding.

Determine diagnoses that were treated, monitored and evaluated and procedures done during the episode of care and assign appropriate codes.

Utilize standard coding guidelines and principles and coding clinics to assign the appropriate ICD‑10 and CPT codes including modifiers for correct assignment and accurate reimbursement.

Identify incomplete documentation in the medical record and formulate a physician query to obtain missing documentation and/or clarification to accurately complete the coding process.

Responsible for correcting any data found to be in error after reviewing the medical record and comparing with system entries.

PROFESSIONAL KNOWLEDGE, SKILLS, AND EXPERTISE:

Complete work assignments in a timely manner

Submit a monthly auditing/training schedule to the Manager.

Submit completed Inpatient, SDS, and ED audit spreadsheets with details for each chart.

Submit audit summaries for Inpatient, SDS and ED coding

Submit all educational documents for all patient types to Management.

Perform reviews on Third Party Audit findings/outcomes and prepare report for HIM and Compliance

Qualifications

REQUIRED MINIMUM QUALIFICATIONS:

Graduate of an AHIMA‑certified Coding Program. Associates Degree from an accredited Health Information Management program or equivalent preferred. Curriculum includes Anatomy and Physiology, Pharmacology, Pathophysiology, Medical Terminology, ICD‑10‑CM and CPT Coding Guidelines and Procedures or

Certified Coding Specialist(CCS).5 years of total experience.

Certified Professional Coder OR Certified Coding Specialist OR Regulatory Health Information Technician OR Regulatory Health Information Administration.