Healthcare jobs for Black professionals

Accurately audits hospital Inpatient, Ambulatory Surgery, Observation, and any other outpatient encounter visit for the purpose of appropriate reimbursement, research and compliance with federal and state regulations according to established ICD-10-CM/PCS coding and/or CPT-4 procedure coding classification systems.

Principal Responsibilities and Tasks

The following statements are intended to describe the general nature and level of work being performed by people assigned to this classification. They are not to be construed as an exhaustive list of all job duties performed by personnel so classified.

1. Reports coding quality accuracy rate for each coder
2. Monitors productivity rate for each coder
3. Conducts specialized focused audits as needed.

• Communicates with various departments within the hospitals regarding coding accuracy. Refers any problems to management timely, providing clear details. Assist coding specialists in writing appropriate coding queries, works collaboratively with CDI, understand Potentially Preventable Complications (PPCs)/Maryland Hospital Acquired Conditions (MHACs), Prevention Quality Indicators (PQIs) and their impact and other indicators as needed.

• Complies with AHIMA standards of ethical coding and coding compliance guidelines.

• Demonstrates support and compliance with University of Maryland Medical System mission, vision, values statement, goals and objectives and policies. Performs other duties or projects such as coding corrections as assigned by the manager.

Education and Experience