Minimum of 7 years of acute healthcare experience required.
Excellent coding skills with direct experience in ICD-10, DRG system, MS-DRG, APR-DRG, data analysis and reporting, as well as strong working knowledge of disease processes and clinical medicine, are required.
Excellent computer skills required, including use of 3M encoder, coding references, acute care abstracting and reporting applications and Microsoft Office.
The coding coordinator/validator will ensure the accuracy and integrity of ICD-10-CM, CPT and DRG system, MS-DRG, APR-DRG and risk-adjustment factor assignment for the purpose of maintaining compliance with federal and state regulations and compliance guidelines. The coding coordinator will review charts on a monthly basis and maintain an educational plan for each coder. The coding coordinator/validator conducts coding audits and calculates coder accuracy rates for the outpatient coder levels I-III or inpatient levels coder I-III levels.
The coding coordinator/validator reviews 100% of all medical records for newly hired coders and for performance management cases.
The coding coordinator/validator will review the PEPPER report quarterly to analyze outliers and conduct reviews on those targeted/focused areas as identified on the report. The coding coordinator/validator will perform reviews on any external review referrals.
Audits will be tracked and trended. The coding coordinator/validator will work closely with management to provide the status of reviews and propose topics for coding and clinical documentation improvement opportunities/education needed.
Maintains query tracking tool. Provides feedback to the management staff for improvement and status of queries.
This position supports organizational goals by providing quality customer service, participating in performance improvement efforts and demonstrating a commitment to teamwork and cooperation.
EDUCATION: High school diploma required. RHIA or RHIT degree preferred.
LICENSE/CERTIFICATION: CPC-H OR CCS required.
EXPERIENCE: Minimum of 7 years of acute healthcare experience required. Excellent coding skills with direct experience in ICD-10, DRG system, MS-DRG, APR-DRG, data analysis and reporting, as well as a strong working knowledge of disease processes and clinical medicine, are required. Excellent computer skills required, including use of 3M encoder, coding references, acute care abstracting and reporting applications and Microsoft Office. Proficiency in clinical and administrative applications preferred at time of hire. Incumbents within position will be trained appropriately and then skill will be required for this position within 30–60 days from date of hire.
AtlantiCare is an equal opportunity employer that takes affirmative action to employ and advance in employment individuals without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, protected veteran status or disability.
Whether you lead an active life or love leisure, you’ll enjoy working and living in the beach communities of New Jersey’s southeastern shore.
Benefits & Wellness
We believe that healthcare should be a rewarding career. That’s why we offer excellent compensation, exceptional health and wellness benefits, and internal resources and programs to support professional growth for our team members. Here, you’ll find everything you need to pursue your calling of caring for others, knowing that you’re working for an organization dedicated to your overall well-being.
Inclusion & Diversity
Diversity and inclusion are at the heart of what makes AtlantiCare a great organization. We recognize and celebrate individual differences as dimensions that enrich our workforce and allow us to be more creative, flexible and competitive. Our inclusive culture welcomes our employees to freely contribute their diverse ideas, background, talents and experiences to make this a place where everyone can be, and do, their best work together.
For many, the shore communities of southeastern New Jersey are vacation destinations, but for AtlantiCare employees, they’re home. Working at AtlantiCare allows you to experience shore life year-round. Here, you’ll find natural beauty, world-class entertainment, rich history, amazing arts, abundant outdoor recreation, shopping, sophisticated dining and plenty of family-friendly events all within communities you’ll love to call home.
The spirit of collaboration is alive and well at AtlantiCare. We empower our teams to be agents of change within our system. We encourage growth and support advancement. Our shared vision for advancing the health of the communities and people we serve guides us to do what’s right for each patient, our healthcare delivery system and the practice of medicine as a whole. We teach, grow and advance medicine together.
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