EMR CODING AUDITOR

Company: Galen Medical Group Pc
Location: Hixson
Posted on: June 23, 2022

Job Description:

EMR Coding AuditorGalen Medical Group offers several medical specialties throughout the Chattanooga region. We provide quality care and patient-friendly services to adults and children of all ages. Our mission is to elevate the health of our community through multiple medical specialties providing excellent care delivered with wisdom, compassion, integrity, and a commitment to technology, education, and scientific inquiry. We are seeking qualified, like-minded individuals to join our team!The EMR Coding Auditor (ECA) facilitates improvement in the overall quality, completeness, and accuracy of medical record documentation. The individual will perform medical record reviews based on CMS Quality Standards and validating active chronic problems for each patient and communicating with the physician to ensure Hierarchical Condition Coding is met, as well as accurate and up-to-date patient problem lists are documented in the EMR. This position will interact with physicians, coding staff, and other members of the health care team to ensure the accuracy and completeness of clinical documentation to support resource utilization and patient outcomes.The ECA reports to the HIT Director and will be located at the Corporate Office but may work remotely or clinic-based, as needed. It is the obligation of each Galen associate to comply with and promote the Galen mission, core values, privacy, and corporate/departmental/site policies (I.E. Dress code, Time and attendance, et al).RESPONSIBILITIES:Coordinate Patient Services

• Perform medical chart reviews to confirm adherence to AAPC clinical coding guidelines.
• Complete audits daily to validate compliance with quality standards and HCC documentation.
• Queries the provider to educate and improve individual patient documentation in the EMR.
• Protects self and other team members by following all compliance, HIPAA, and infection prevention guidelines and regulations.
• Respect patients by recognizing their rights; maintaining confidentiality.
• Assist the patients primary care provider with coordination of care/services to ensure the smooth transfer of member information across the continuum of care.
• Maximize the use of resources to improve quality outcomes with the reduction of unnecessary tests/procedures maintaining accurate and complete documentation in the medical record.
• Proactively engage with patients, family, and/or caregivers to educate and coordinate the completion of necessary procedures or tests.\Establish and Maintain Quality Care Population Health Coordination
  • Independently monitors and reviews an assigned patient population.
  • May provide telephonic outreach to patients identified as high risk, with a chronic condition(s) to assist with medical record requests, as needed.
  • Thorough understanding of ICD-10, CPT, and complex co-morbidity coding.
  • Participate in monthly and quarterly meetings, as requested by the supervisor.
  • Maintains professional and technical knowledge by attending educational workshops, reviewing professional publications, establishing personal networks, benchmarking state-of-the-art practices, and participating in professional organizations regarding clinical quality measures and governmental regulations.The above job description is intended to describe the general content of and requirements for this job. It is not intended to be a complete statement of duties, responsibilities, or requirements.QUALIFICATIONS:Education
    • Must be certified as a procedural coder and maintain certification throughout employment.
    • Must have strong analytical, oral, and written communication skills.
    • Associates Degree in related field preferred.Experience
      • Minimum of two years of healthcare experience required with one year of clinical experience preferred.
      • Minimum of two years of customer service experience required.Skills/Certifications
        • Excellent customer service skills.
        • Exceptional skills of independence, organization, verbal and written communication, problem-solving, professional interaction, and human relation skills, as well as analytical skills and problem-solving ability.
        • Must be PC literate with strong computer navigational skills, as well as extensive knowledge of Windows and Microsoft Office.
        • Knowledge of basic medical terminology.
        • Proficient with processes to build teams and participate in cross-functional teams.
        • Ability to work within specified timeframe requirements, including timeframes for goal achievement.
          WORKING HOURS:1. Work hours can be PRN, Pro-rated FT or FT based on needs of the site.2. Weekends, holidays and overtime must be worked as required by department.3. Galen reserves the right to change the work schedule of any employee when it is considered in the best interest of the organization.4. The reasonable scheduling of overtime is the prerogative of Galen, and employees will be expected to work such overtime unless excused by their supervisor.As part of the Galen Medical Group, the applicant must be a team player and provide excellent customer service while assessing our patients needs efficiently. Perform all duties in compliance with Galen Medical policies, HIPAA, and OSHA standards.Galen Medical Group is a member of the TN Drug-Free Workplace and it is a requirement that we conduct a pre-employment drug screen, as part of the hiring process.Why should you apply?
          • 401(k) benefits.
          • Education reimbursement.
          • Holiday Pay.
          • Great earned time-off policy.
          • Company-paid Life Insurance & Long Term Disability.

Keywords: Galen Medical Group Pc, Chattanooga , EMR CODING AUDITOR, Accounting, Auditing , Hixson, Tennessee