PB Coding Quality Auditor
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Job Description
Auditing and reviewing patient charts and coding compliance at Children’s Healthcare of Atlanta. Educating staff and identifying improvements for enhanced performance and internal controls.
Responsibilities:
- Provides audits and reviews patient charts, corresponding ICD-10 CM, CPT-4 codes, modifiers, HCPCS codes, and charges for appropriateness
- Provides reports to management of findings and recommendations for solutions
- Identifies areas of improvement which will enhance internal controls and performance throughout Children’s Healthcare of Atlanta
- Proactively supports the efforts that ensure safe patient care and services and promote a safe environment at Children's Healthcare of Atlanta
- Works with management team to educate Coding staff on coding and documentation compliance
Requirements:
- Minimum of 5+ years professional auditing experience
- Associates degree in Health Information Management or related field
- Minimum of one of the following: Certified Professional Coder (CPC), Certified Professional Medical Auditor (CPMA), Certified Coding Specialist – Physician-based (CCS-P)
- Knowledge of diagnosis-related group and ambulatory payment classification regulations
- Demonstrated knowledge of InterQual Criteria and Medicaid and managed care rules and regulations
- Strong analytical, organizational, and communication skills
Benefits:
- Comprehensive compensation and benefit package
- Array of programs and services to employees
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