2 jobs found

Job Description SUMMARY OF JOB DUTIES: The person handling this position is responsible for ensuring all risk ICD-10 codes are properly documented with appropriate treatment plans on the encounter and these specific risk codes are attached to the correct CPT code for all VBC plans. This person is also responsible for making sure that the claim is fully processed by the payor so that they receive the HCC diagnosis. ESSENTIAL JOB FUNCTIONS: Daily key punching into computer when needed to assure accuracy of billing for all services rendered in patients account in a timely manner. Ensure completion of documentation and coding on the EMR when needed on charges entered in patient's accounts for a correct and complete billing claim. Review clinical documentation and make sure accurate diagnosis codes and procedure codes are documented with the use of MEAT/TAMPER according to CMS guidelines Verify the appropriateness of the ICD-10 code to include...

Riverside University Health System (RUHS) s eeks a Coding Compliance Auditor ( Administrative Services Manager I),  to support the health system's Corporate Compliance Department. The Compliance Auditor will be responsible for reviewing inpatient and/or outpatient records for quality and comprehensive coding.  The incumbent reviews records regarding coding regulations and compliance and provides feedback and education to coders and/or physicians.  The Compliance Auditor is responsible for performing annual, periodic or other focused medical record audits as requested to oversee the quality and accuracy of physician, inpatient and outpatient coding and documentation. This position requires effective communication with all RAC stakeholders and excellent organizational skills to ensure timeliness and accuracy of response requests, as well as continual program development through training and process improvement.  The incumbent should have experience creating and delivering...