Documentation Auditor-Cardiology
- Cardiology
- Chicago (Lincoln Park)
- Full time
- Days
Position Summary:
Educates physicians and other
healthcare providers on appropriate medical documentation guidelines, coding of
Evaluation and Management (E&M) services, testing and procedures. Coordinates billing efforts with
Physician Billing Department.
Essential Job Functions:
1.
Provides guidance and education to physicians and other care
providers regarding medical documentation.
Advises physicians on how to achieve best reimbursement from third party
payors. Confers with physicians to
highlight opportunities for improvement in documentation and code selection
2.
Audits physicians’ selection of CPT and ICD-9 codes and
medical record documentation supporting code selection. Works to correct inaccuracies and
resolve discrepancies when identified.
3.
Specifies codes for visit, procedures and diagnoses for
inpatients, procedures and select outpatients visits.
4.
Meets with Division Head, Clinical Practice Director,
Administrative Director or designees on a regular basis to discuss problems and
recommended solutions.
5.
Performs monthly reconciliation between concurrent charges
sent and entered.
6.
Ensures all concurrent charges and necessary information are
submitted to the billing service in a timely manner, which may require daily
interactions with physician/nursing/technical staff.
7.
Resolves all questions and problems with patients, third party
payers, billing coordinators, coding and billing analysts and external billing
services.
8.
Performs job functions adhering to service principles with
customer service focus of innovation, service excellence and teamwork to provide
the highest quality care and service to our patients, families, co-workers and
others.
FTE status: FT-80
Requirements
Knowledge, Skills and
Abilities:
1.
Certified Professional Coder (CPC), Certified Coding
Specialist–Physician (CCS-P), Registered Health Information Technician (RHIT),
or Registered Health Information Administrator (RHIA) required.
2.
Previous clinical experience as registered nurse or
technologist highly preferred, working in Cardiology program and working with
physicians in an academic medical program.
3.
Demonstrates and applies understanding of medical terminology,
anatomy and physiology, and coding classification systems in determining
appropriate physician coding.
Significant knowledge and experience with Cardiology coding as
demonstrated by published articles or speaking experience at industry meetings
highly preferred.
4.
Thorough knowledge of CPT and ICD-9 coding.
5.
Demonstrates ability to communicate effectively, work
independently and balance multiple priorities.
6.
Ability to use computer software (i.e.: Epic, IDX, WORD, EXCEL
and PowerPoint).