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Coding Manager/Medical Coding Auditor

Boston services
Dover, DE Full Time
POSTED ON 1/17/2025
AVAILABLE BEFORE 3/16/2025

Job Title: Coding Manager/Medical Coding Auditor
Address: Dover, DE 19901
Start Date: 02/03/2025 (Tentative)
Duration: Permanent Full Time
Shift: Days

Salary: $70,000.00 to $110,000.00

Job Description:
Systematically reviews medical coding for all patient types to determine that the coding for all diagnoses and procedures, especially those in which reimbursement is DRG dependent, are submitted in a timely and accurate manner. Routinely researches clarifies, and resolves coding problems.

Responsibilities:

  • Manages and oversees the entire coding process for BayHealth inpatient and outpatient.
  • Manages the E/M level code assignment for the Emergency Departments.
  • Randomly review 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.
  • Performs daily monitoring of essential Queues for timely coding of records.
  • Demonstrates knowledge of DRG payor issues, documentation opportunities, clinical documentation requirements, and coding requirements.
  • Performs audits of coding staff to - Evaluate documentation for assigned principal diagnosis, pertinent secondary diagnosis, and procedures for accurate DRG assignment, risk of mortality, and severity of illness & Evaluate physician queries created for coding clarification.
  • Evaluates and interprets statistical and narrative analysis reports of department services to ensure appropriate and timely coding.
  • Manages Health Information Management coding staff.
  • Maintains accurate budget data and monitors coding staff productivity.
  • Develops and provides education to physicians and others to improve coding outcomes.
  • Performs liaison duties with EPIC to evaluate software updates and assists with testing of software changes.
  • All other duties as assigned within the scope and range of job responsibilities.

Required Education, Credential(s) and Experience:

Education: Associate Degree; Related field; Or two (2) years of additional experience may be considered instead of a degree.

Credential(s): Certified Coding Specialist

Experience: Required: 5 years experience in an acute care hospital setting, 5 years coding experience.

For more details, you can email me at tishakha@bostonserv.com or call/text me at (781) 215-0395

Job Type: Full-time

Pay: $70,000.00 - $110,000.00 per year

Schedule:

  • 10 hour shift
  • 5x8
  • 8 hour shift
  • Day shift
  • No nights

Experience:

  • Coding Manager/Medical Coding Auditor: 5 years (Required)

License/Certification:

  • Certified Coding Specialist (Required)

Shift availability:

  • Day Shift (Required)

Work Location: In person

Salary : $70,000 - $110,000

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