Tucson Medical Center

SUMMARY:The Revenue Cycle Auditor is responsible for pre and post payment claim auditing of medical records and associated clinical documentation to ensure proper charge capture, billing in accordance with standard billing policies and reimbursement principles. This position is also responsible for assisting Revenue Cycle Services, HIM and other departments with resolution of billing issues and/or denials requiring clinical expertise, participating in external audit requests, and special projects as needed. The Revenue Cycle Auditor also serves as an audit outcome educator with clinical staff in clinic and department settings. We are looking for a coding auditor to help us audit our coders and providers. CPC required, CPMA preferred. This is a remote position.ESSENTIAL FUNCTIONS:Provides pre and post payment claim auditing of medical records and associated clinical documentation to ensure proper charge capture, billing in accordance with standard billing policies and reimbursement...

Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/ PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and Coder, Remote, Coding Specialist, Healthcare, Medical, Information, Hospital

SUMMARY:Responsible for referring to patient's medical records and selecting proper CPT-4, ICD 9, ICD 10, HCPCS codes to classify services performed, diagnostic information collected and treatments provided. Assists Quality with reports and other staff as may be needed for special reports and or assistance.ESSENTIAL FUNCTIONS:Exhibits customer service excellence through appropriate attitude and interaction with patients, visitors and staff. Assists physicians, providers and management in generating and managing records for all billable activities that take place within the organization.Audits physician and provider documentation within the electronic medical record for accuracy in representing the services provided.Obtains any necessary clarification of information from physicians and providers regarding documentation within the electronic medical record.Conducts ongoing ICD-9, ICD-10 documentation review (RAF) for each patient scheduled for a clinical day and provides physicians...

SUMMARY:Provides timely and accurate administrative and clinical data through the accurate assignment of current ICD-10-CM/PCS, CPT or HCPCS codes while complying with the regulations and requirements of the Federal Government, State licensing agencies and the Hospital's policies and procedures. Supports TMCH's management planning process and ensures appropriate reimbursement for services.ESSENTIAL FUNCTIONS:Assigns the correct ICD-10-CM, ICD-10-PCS, CPT or HCPCS codes to each diagnosis and operative procedure substantiated by documentation contained in the medical record utilizing the current code sets.Responsible for accurately coding inpatient or outpatient record types.Follows departmental and current official coding guidelines to ensure consistent and accurate coding of diagnostic and procedural data.Utilizes the 3M 360, CAC (Computer Assisted Coding), Epic, and any other necessary applications for proper coding, ensuring accuracy.Ensures that the medical staff documents have...