Coding Compliance Specialist - HM

Essential Duties

• Review and analyze medical records and documentation for inconsistent documentation practices and offer remediating solutions.
• Perform ongoing outreach/education for new and existing coders on Emergency Medicine & Hospital Medicine coding and documentation requirements using a variety of formats.
• Assign appropriate ICD-10, CPT, and HCPCS codes to diagnoses, procedures, and services based on medical documentation.
• Validate the accuracy of codes and ensure adherence to coding guidelines and regulations.
• Maintain up-to-date knowledge of coding standards, regulations, and payer policies.
• Ensure quality and productivity goals set by Coding Manager is met.
• Ensure compliance with federal, state, and payer-specific coding guidelines and requirements.
• Review and address coding discrepancies and provide feedback coding leadership team.
• Conduct audits of coded records to ensure accuracy and compliance.
• Provide recommendations for coding improvements and best practices.
• Review new business medical records for documentation opportunities and templating education.
• Utilize coding software and electronic health record (EHR) systems efficiently.
• Stay informed about updates and changes to coding systems and software.
• Serves as a resource for expert knowledge in coding and documentation requirements.
• Perform other related duties as assigned.

Skills, Knowledge, Abilities

• Strong organizational skills with the ability to multi-task in a fast-paced environment.
• Ability to adapt, modify and prioritize while adhering to strict deadlines and a willingness to shift priorities to meet the needs of the organization.
• Knowledge and understanding of medical coding and billing systems and regulatory requirements. Knowledge of legal, regulatory and policy compliance issues related to medical coding and billing procedures and documentation.
• Excellent communication and interpersonal skills and demonstrated ability to interact with a variety of team members.
• Self-motivated with the ability to identify opportunities for improvement and demonstrate the initiative to resolve issues in support of improvement efforts.
• Strong analytical skills and the ability to work independently to analyze and solve problems.
• Adept at learning proprietary software applications.
• Collaborate with professionals internal and external to the company and across geographic locations
• Exhibit growth mindset and team-orientated behaviors
• Navigate competing priorities and effectively work in a fast-paced environment

Education

Experience

Work Location

• Remote work with travel for in-person meetings and events. The employee must have reliable access to internet.
• Core Clinical Management, LLC is an equal opportunity employer and complies with ADA regulations as applicable.?
• Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities, and activities may change at any time with or without notice.