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GUNDERSEN LUTHERAN ADMINISTRATIVE Coding Integrity Specialist in LA CROSSE, Wisconsin

JOB REQUIREMENTS: Love + medicine is who we are, it\'s what we do, it\'s why people want to work here. If you\'re looking for a job to love, apply today. Schedule Weekly Hours:40 This is a 1.0 FTE = 80 hours every 2 weeks. This position will be working remote, however candidates must be within a reasonable driving distance to be able to come in for occasional meetings and training. We can only accept candidates from WI, IA and MN.Job Description: The Coding Integrity Specialist works under direction of the Manager of Clinical Documentation Improvement to ensure accurate and compliant coding of hospital and clinic services through coding review, continued education, and feedback to coding leadership and staff along with the continual development and maintenance of an effective quality audit review program. This could include but is not limited to reviews of E&M, in-office procedures, ancillary services, Emergency Services, Urgent Care, and professional hospital services, including guidelines specific to prospective payment system, Rural Health Clinic, and Critical Access Hospital. This individual will work independently on most assignments but will collaborate with Coding Services Managers, Supervisors and Leads for planning and implementation. Major Responsibilities: 1.Implements the department\'s internal quality control and assurance program. Performs internal audits to ensure staff compliance with coding and reimbursement guidelines. Provide input to a coding supervisor\'s assessment of a coder\'s adherence to ICD-10 CM and/or PCS coding conventions (International Classification of Diseases, 10th revision, Clinical Modification and/or Procedure Coding System), the CPT rules (Current Procedural Terminology) established by the AMA (American Medical Association), the AAPC code of ethics and/or the AHIMA Standards of Ethical Coding and risk adjustment models, ie. hierarchical condition category (HCC) coding. 2.Coordinates and project manage internal and external audits. 3.Monitor coding specialist\'s compliance with provider query policies to acquire documentation which supports appropriate procedure and diagnosis codes. Assess the adequacy of documentation to support code assignment. Escalate documentation issues according to departmental policy. 4.Identifies, based on audit assessments, opportunities for continued education and coordinates with managers, supervisors and leads to facilitate. 5.Identifies, based on assessments, potential opportunities for improved clinician documentation and alignment of the application of coding guidelines. 6.Demonstrate in depth knowledge and technical expertise in code sets including CPT, HCPCS, ICD-10 as well as the current national, regional, and local payer policies for coding, billing, and claims processing. Partner with leaders in Revenue Cycle and Clinical Documentation Improvement to monitor, research, translate, interpret, and... For full info follow application link. EEO/AA/Veterans/Disabilities ***** APPLICATION INSTRUCTIONS: Apply Online: ipc.us/t/4D7D4B68316945A7

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