Christus Health • Remote • Posted 3 days ago
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The Coding Quality Specialist I at Christus Health is a remote position focused on performing internal departmental coding reviews to support the Coding Operations Department's business needs. This role involves contributing to coding education and training, facilitating pre-bill and cross-training, and maintaining a high accuracy rate in coding. The position requires residing in Texas, Louisiana, Arkansas, New Mexico, or Georgia and offers a unique opportunity to work collaboratively with various departments to ensure feedback is shared for education and training purposes.
About Christus Health
CHRISTUS Health is a multinational Catholic healthcare system providing a wide range of services including acute care, long-term care, outpatient clinics, and specialized care like pediatric, cancer, heart, and orthopedic services. Operating in six countries, CHRISTUS Health integrates faith-based values into its medical care to offer holistic healthcare to patients. The company is known for its high-quality patient care, strategic partnerships, and commitment to growth and expansion in the healthcare industry.
Summary:
CHRISTUS Health System offers the Coding Quality Specialist I position as a remote opportunity. Candidate must reside in the states of Texas, Louisiana, Arkansas, New Mexico, or Georgia to further be considered for this position.
The Coding Quality Specialist reports to the HIM Coding Education Manager to perform internal departmental coding reviews in support of the Coding Operations Department's business needs. This position contributes to coding education and training and facilitates pre-bill and cross-training in order to advance and keep current, the skillset of our HB coding associates.
The Coding Quality Specialist demonstrates high caliber specialty knowledge and understanding of current ICD-10-CM, ICD-10-PCS and/or CPT/HCPCS coding guidelines and practices in both the inpatient and outpatient care settings, maintaining a 95% accuracy rate.
Assignments are based on departmental needs and include but are not limited to PEPPER reviews, new hire and standard pre-bill reviews, remediation and performance improvement reviews and those required for corrective action plans, query quality and other focused reviews as may be needed. The Coding Quality Specialists will review for quality in regards to POA assignment, principal and secondary diagnosis code assignment, procedural coding, modifier usage, discharge disposition verification, query opportunities and DRG and APC accuracy.
Coding Quality Specialist will work collaboratively with various CHRISTUS Health Departments, including but not limited to the Regional Coding Managers, HIM, Compliance, and Clinical Documentation Specialist to ensure feedback is shared and reported for education and training purposes. The Coding Quality Specialist will also assist in production coding as may be required and in order to keep current skills up-to-date and accustomed to changing technology and workflows.
The Coding Quality Specialist will report directly to the HIM Coding Education Manager, with additional leadership from the Director of Coding Operations and System HIM Director.
Responsibilities:
Requirements:
Work Type:
Full Time
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