Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Review pre bill cases simultaneously with a physician during each work shift excluding breaks and meetings to analyze and validate diagnosis and procedure codes for inpatient services via coding compliance and clinical knowledge to support accurate DRG assignment Utilizes Accuity technology for tracking of coding errors, query opportunities and other data collection as ne

Adhere to and maintain required levels of performance in both coding accuracy and productivity in relation to closing queries Appropriate assignment of ICD 10 CM/PCS codes Appropriate assignment of MS DRGs and APR DRGs through the use of an encoder/grouper Abstract data in accordance with client specifications (i.e., discharge disposition, performing MD, SPARCs) as needed

Oversee the daily operations of the final and initial coding teams and assigned clients under the manager's direction Follow coding guidelines and legal requirements to ensure compliance with federal and state regulatory agencies. Assumes a lead role for innovation, knowledge sharing and leading best practice initiatives. Contributes to the development of strategic direct

Manage and supervise staff responsible for DNFB activities, providing feedback, support, and training. Define clear guidelines for tasks, including expected completion times and escalation procedures to ensure timely chart completion. no opportunity finalized within 48 hours from receipt coding opportunity finalized within 72 hours from receipt queries are sent to provide

Review and validate data as it is collected Perform data profiling to identify and understand anomalies Implement new data analysis methodologies Monitor analytics and metrics results Oversee the deployment of data to the data warehouse Review inbound files to ensure integrity of data collection and utilization Develop policies and procedures for the collection and analys

Assess the clinical indicators and suggestions of various query requests received from the MD Reviewer/ DRG Coach Collaborate and communicate as necessary to clarify and avoid misinterpretation to ensure the query is optimally written and distributed to the correct client provider Creates queries in a compliant manner in accordance with AHIMA and ACDIS compliant query gui

Provide clinical leadership in an inter disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence Maintain a functional and collaborative relationship with the DRG Coding Auditor to achieve shared company goals Comply with medical and federal guidelines at all times Resolve co

Adhere to and maintain required levels of productivity and quality performance KPIs Maintain up to date coding knowledge by reviewing materials disseminated/recommended by the Physician Staff, Coding and CDI Leadership Participate in Coding department meetings and educational events as assigned Maintain a collegial working relationship with CDI and Coding and Client Succe

Performs the quality assurance leadership functions under the direction of the Sr. Director of ICQ and in accordance with the approved QA plan Directs the management of the quality program(s), policies, practices, and resources Coordinates work assignments of system wide QA staff and adjusts as needed based on schedules, volumes, and access Manages the ICQ QA team quality

Provide clinical leadership in an inter disciplinary team in a professional, knowledgeable, and efficient manner to drive client results, exceed client expectations, and foster client confidence Maintain a functional and collaborative relationship with the DRG Coding Auditor to achieve shared company goals Comply with medical and federal guidelines at all times Resolve co

Project leader for enterprise level and strategic projects Project leader for the operational implementation of new Accuity clients Manage activities through a project's entire lifecycle, including the initiation, planning, execution, and closure phases Develop the initial elements of a project, such as defining its scope and making plans for others working on the project

Performs IP coding quality assurance (QA) reviews Maintains turnaround time expectations to minimize impact to client DNFB Maintains an up to date working knowledge of MS DRG, APR DRG, ICD 10 CM/PCS coding Identifies, applies, and validates the use of current industry standard clinical indicators, risk factors and treatment protocols/order sets used in clinical validation

Manages all internal and external ICQ audit and assessment initiatives including HITRUST, SOC, PWC assessments, Enterprise Risk Management, ICQ internal coding and consults on client audits. Develops, maintains and reports on the overall Compliance Assessment and Audit Plan for the organization. Performs the quality assurance subject matter expert functions under the dire

Ensures compliance with external agencies and state and federal regulations for ethical coding Maintains, and implements policies and procedures; evaluates and improves the effectiveness of policies and procedures and workflow Coordinates work assignments of system wide coding staff and adjusts as needed based on schedules and volumes Monitors productivity levels and turn