Position Description
Performs coding and documentation quality audits; provides feedback to coding and reimbursement specialists, coders, and educates them. This job has no supervisory responsibilities.
Preferred Qualifications
* Current and active professional coding certification required from an accredited organization.
* Billing and coding experience in a multi-specialty group practice and/or academic practice setting is preferred.
* Five or more years of progressively responsible experience in a health care environment, with three of those years directly involved in coding of health care items/services.
* Managerial/supervisory and program management implementation experience strongly preferred.
* Ability to initiate administrative activities as necessary.
* Excellent oral and written communication skills.
* Ability to write and present ideas and information in a concise manner.
* Ability to work collaboratively with all individuals.
* Professional bearing, sound business judgment and persuasive skills.
* Strong problem-solving skills, self-starter, ability to function with little face-to-face, daily supervision.
* Ability to deal with stressful situations, works collaboratively to address complex and sensitive issues.
* Excellent time management skills and attention to detail.
* Ability to successfully pass a criminal background check, as well as not be listed on the HHS OIG, Texas Medicaid, GSA or any other government exclusion lists.
Required Qualifications
* High School graduate or equivalency and five (5) years of coding and reimbursement experience of which one (1) year may be as a coding auditor.
* Additional job-specific education may substitute for the experience.
* Active professional coding certification from an accredited organization, e.g., American Association of Professional Coders (AAPC), American Health Information Management Association (AHIMA).
* Certification to remain current during term of employment.
* Knowledge of CPT, ICD-CM, ICD-10, and HCPCS nomenclature.
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