Medical Billing and Coding Specialist

Hiring Coding Manager / Medical Coding Auditor -Dover, DE 19901

Permanent / Full Time

Shift : Days Full Time

Location :* Dover, DE 19901*

Job Description :

Required Education, Credential(s) and Experience:

• Education: Associate Degree; Related field; Or two (2) years of additional experience may be considered in lieu of a degree.
• Credential(s): Certified Coding Specialist
• Experience: Required: 5 years’ experience in an acute care hospital setting, 5 years coding experience

Preferred Education, Credential(s) and Experience:

• Education: Bachelor Degree Health Care or Health Information Technology or related field.
• Credential(s):
• Experience: Preferred: 5 years supervisory experience in an acute care hospital setting, 10 years coding experience

Responsibilities:

1. Manages and oversees the entire coding process for Bayhealth inpatient and outpatient.
2. Manages the E/M level code assignment for the Emergency Departments.
3. Randomly reviews accounts to ensure the most appropriate MS-DRG for inpatients, APGs for Day Surgery and the most appropriate diagnosis/procedure codes on outpatients are assigned and the most appropriate E/M level.
4. Performs daily monitoring of essential Queues for timely coding of records.
5. Demonstrates knowledge of DRG payor issues, documentation opportunities, clinical documentation requirements and coding requirements.
6. Performs audits of coding staff to a. Evaluate documentation for assigned principal diagnosis, pertinent secondary diagnosis and procedures for accurate DRG assignment, risk of mortality and severity of illness b. Evaluate physician queries created for coding clarification.
7. Evaluates and interprets statistical and narrative analysis reports of department services to ensure appropriate and timely coding.
8. Manages Health Information Management coding staff.
9. Maintains accurate budget data and monitors coding staff productivity.
10. Develops and provides education to physicians and others to improve coding outcomes.
11. Performs liaison duties with EPIC to evaluate software updates and assists with testing of software changes.
12. All other duties as assigned within the scope and range of job responsibilities.

Specialty: Medical Coding

Sub Specialty(s): Medical Coding Auditor

Thanks & Regards

Tom Thomas

1 703-436-4343

Job Type: Full-time

Pay: $53,000.00 - $81,000.00 per year

Benefits:

• 401(k)
• Dental insurance
• Health insurance
• Life insurance
• Paid time off

Schedule:

• Day shift

Experience:

• Hospital Coding: 5 years (Required)

Ability to Commute:

• Dover, DE 19901 (Required)

Ability to Relocate:

• Dover, DE 19901: Relocate before starting work (Required)

Work Location: In person

Salary : $53,000 - $81,000