Manager, Coding Quality & Documentation

Manager- Coding Quality & Documentation

Amplify, an Ovation Healthcare company is seeking a Manager over coding quality and documentation. The successful candidate will perform coding reviews and documentation analyses internally over Amplify staff and externally over clients for various chart types/ service lines. They will function as a subject matter expert on correct coding.

Qualifications

• Must have facility, professional, and critical access auditing experience and ideally be exposed to observation hours, injections, and infusion code assignment.
• Must be able to educate coders, providers, clinical staff and work with AR teams to resolve issues.
• Must be proficient in Microsoft Office, Outlook, Excel, Teams, EHRs and Revenue Cycle platforms.
• Must be able to multi-task, have excellent communication skills and prioritize service to clients.
• Must meet and maintain a 95% quality accuracy rate and productivity standards.
• Must appropriately apply NCCI, CPT Assistants, Coding Clinics and pass a coding assessment.
• Must present professional demeanor representing Amplify/ Ovation.
• Must have experience working in a remote environment.

Duties, and Responsibilities

• Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding and documentation reviews.
• Ensure compliance with all regulations for federal and state agencies, third-party payers, and organization policy.
• Develops and maintains professional skills and knowledge through attendance atrelevant conferences, seminars and other educational programs, participation in professional organizations, and review of current literature.
• Provide guidance on annual code set updates.
• Create policies and procedures for coding quality assurance.
• Participate in recruitment and onboarding of qualified auditing staff.
• Create, submit and train on appropriate and necessary provider queries to resolve documentation discrepancies.
• Create and provide education regarding appropriate documentation and code application.
• Perform quality assessment of records, including verification of medical record documentation.
• Review appropriate charges and make changes or recommendations based on the documentation.
• Responsible for researching errors or missing documentation from medical records to provide accurate coding processes.
• Create, organize and maintain auditing logs/ policy for Amplify staff, multiple clients and others as assigned.
• Participate on potential client calls and share about Ovations services.
• Create executive summaries and other deliverables based on findings, including recommendations for next steps and professional references/ sources.
• Present on findings internally and externally on quality topics. Lead meetings as needed.
• Be comfortable working with executives, physicians, and members of the C-suite.
• Fields coding questions internally and externally in timely fashion with evidence.

·Other supervisory duties as assigned.

Desired Skills/Experience

• Five or more years of auditing experience.

·AHIMA/AAPC credentials.

• Associate or bachelor’s degree in related field is preferred.

 
We Offer Benefits!

·Medical, Dental, and Vision

·PTO

·401k

·And more!