PATHS

Pay range is $21 - $27.30/hr.

Job Description:

SUMMARY

Responsible for conducting Medical Record reviews monthly to identify provider coding and documentation inaccuracies.  Responsible for the identification and performing of training opportunities based on provider inaccuracies. 

Education and/or experience

• CPC or CPMA (Medical Auditing Certification) from accredited source (American Health Information Management Association, American Academy of Professional Coders, or Practice Management Institute)
• At least 5 years of experience relevant to ICD-10 coding or medical record audit experience
• Experience developing educational materials and delivering trainings related to ICD-10 coding

Competencies

• Detail orientated
• Good attention to accuracy to identify outliers and inefficiencies
• Strong written and verbal communication skills to present findings and results effectively
• Good critical thinking skills in order to identify strengths and weaknesses and suggest resolutions for the problem areas
• Work independently
• Prioritizing and planning work activities as to use time efficiently
• Organized, accurate, thorough, and able to monitor work for quality
• Dependability, able to follow instructions, respond to direction and able to improve performance through management feedback
• Maintain very strict confidentiality
• Be computer literate
• Have diplomacy, tact, and a positive approach to problem solving
• Team player
• Knowledge of eCW

Essential Functions

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

1. Collects and analyzes data to formulate recommendations and solutions based on audit trends and results.
2. Provides regular feedback to leadership on performance improvement opportunities as a result of performance gaps.
3. Acts as an expert on medical records auditing to internal staff
4. Participates in and represents the department in business leadership groups, including external professional groups specializing in coding and provider education.
5. Attends training events to stay up to date on regulation and the latest revisions to documentation and coding systems.
6. Advises management on developing more effective policies and procedures regarding medical coding or billing issues.
7. Trains medical or coding staff to understand and to apply coding and billing policies, laws and regulations which may require some travel to other PATHS' offices.
8. Other projects and/or duties as required

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties, or responsibilities that are required of the employee for this job.  Duties, responsibilities and activities may change at any time with or without notice.

AAP/EEO Statement

PATHS’provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.

Preferred Skills: