QA Coding Specialist - HIMS OP Coding

Job ID: 2024-51132
Job Category: Medical Records/HIMS
Job Type: Full-Time
Shift: First Shift
Department: 700293 - HIMS OP CODING
FTE: 80 Hours Per Pay Period/FTE 1.0
Job Code: 121400

Job Details

System Services | Miamisburg | Full-Time | First Shift

Responsibilities & Requirements

Job Summary

Under the supervision of the Coding Manager, the Quality Assurance Specialist is responsible for educating and training coding staff on the proper application of medical coding guidelines. This role ensures that coding staff accurately translate patient medical records into standardized codes (ICD-10-CM and CPT) for billing and reimbursement purposes. Additionally, the Quality Assurance Specialist conducts audits of medical record coding to ensure compliance with established guidelines and provides results to relevant stakeholders. This role also administers educational activities based on both internal and external audit findings to promote adherence to state/federal laws and regulatory requirements.

Job Requirements

Minimum Education

• High school diploma or equivalent

• Preferred associate degree in healthcare related field.

Minimum Work Experience

• Minimum three years’ experience coding in acute care hospital required.

• Two years of supervisory / leadership experience preferred.

Required Licenses[Ohio, United States] Coder, Health Information
• RHIT, RHIA, or CCS required.

• Preferred member of AHIMA and/or AAPC Professional Associations.

Required Skills

• Proficient in data entry using Microsoft Office Suite products.

• Skilled in Solventum CRS and CAC systems for coding and documentation.

• Experienced with Epic EMR, navigating electronic medical records with ease.

• Strong written and verbal communication skills, facilitating clear and concise information exchange.

• Thorough application of medical terminology successfully translated into codeable language.

• Solid understanding of anatomy and physiology, with expertise in associating disease processes with corresponding codes.

• In-depth knowledge of regulatory and governing body coding and billing guidelines.

Overview

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Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.

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