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Coding Auditor in Knoxville, TN - Maryville, TN - Alcoa, TN at TeamHealth

Date Posted: 9/4/2018

Job Snapshot

Job Description

Join a team of dynamic, results oriented professionals!

Named among “The World’s Most Admired Companies" by Fortune Magazine
Named among "America's 100 Most Trustworthy Companies" by Forbes magazine
Named among “Great Places to Work" by Becker’s Hospital Review

  • Career Growth Opportunities
  • Convenience market on site
  • Benefit Eligibility (Medical/Dental/Vision/Life) the first of the month following 30 days of employment
  • 401K program (Discretionary matching funds available)
  • Employee Assistance Program
  • Referral Program
  • Dental plans & Vision plans
  • GENEROUS Personal time off
  • Eight Paid Holidays per year
  • Quarterly incentive plans
  • Business casual dress code
  • Free Parking
  • Free coffee daily
  • Employee of the month awards with monetary gift and parking space
  • Training Programs
  • Fitness Center with personal trainer on site
  • Awesome Facility with terrific amenities
  • Wellness programs
  • Flexible work schedule

 

POSITION SUMMARY:

TeamHealth’s corporate coding compliance program requires all coders be reviewed on a monthly basis for accurate CPT-4 coding skills. Records are reviewed after they have been coded, and before they have been billed. The Coding Quality Assurance Reviewer reviews CPT-4 codes assigned by Team Health coders for accuracy with corporate guidelines, CPT-4 and Federal guidelines. The Coding Quality Assurance Reviewer conducts audits on randomly selected records from TeamHealth’s billing centers on a daily basis. The Coding Quality Assurance Reviewer provides educational feedback to the coders regarding audit outcomes. The Coding Quality Assurance Reviewer is independent of the billing center’s coding department.

ESSENTIAL RESPONSIBILITIES:

  • Review a minimum of 40 to 60 records per month per coder (to be determined by coding specialty) of pre-billed records coded by TeamHealth coders for accurate coding of CPT-4 and corporate guidelines.
  • Maintain a complete understanding of the internal corporate coding guidelines and federal coding guidelines relative to provider documentation of services rendered in the procedural and diagnostic coding of those services.
  • Prepare audit reports as directed.
  • Provide educational feedback to the coders via the coding manager regarding record review outcomes.
  • Conduct focused coding audits as requested.

Job Requirements

POSITION REQUIREMENTS:

Skills

  • Thorough knowledge of CPT-4 coding for both commercial and federal payers.
  • Knowledge of Microsoft office Word/Excel software.
  • Good analytical skills.
  • Excellent organizational skills.
  • Ability to work independently.
  • Maintain a Quarterly QA score of 91.7%For HM and 96.7% for all other specialties.     

Education

High school graduate or its equivalent. Coding certification (CPC, CCS-P or RHIT/RHIA). Coding certification must be earned within one year of working in this position.

Experience

Minimum of two to three years of previous professional services coding experience.

WORKING CONDITIONS:

Set in a pleasant office environment. Involves reviewing a high volume of medical records, extensive computer use, and constant sitting.

TRAVEL:

May require occasional travel to seminars and annual meetings.