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 at      relevant 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.

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