Full-Time Coding Quality Auditor and Specialist

The Coding Quality Auditor and Specialist reflects the mission, vision, and values of NM, adheres to the organization’s Code of Ethics and Corporate Compliance Program, and complies with all relevant policies, procedures, guidelines and all other regulatory and accreditation standards.

The Coding Quality Auditor and Specialist is required to be the expert in the work related to clinical documentation and coding. This position works in tandem with the Clinical Documentation Team assuring quality metrics are held to the highest standard for NM Health System.

The Coding Quality Auditor and Specialist is responsible for assuring coding guidelines and regulations are not compromised during the decision-making process related to clinical documentation and the coding of this documentation.

This position partners with Clinical Documentation Nurses, Physicians, and other licensed providers to improve the quality of documentation, assuring best quality performance and representation of care provided.

Responsibilities:

• Collaborates with clinical documentation team in the review of inpatient accounts (with an emphasis on mortality reviews) identifying documentation improvement opportunities
• Consistently assures coding practices remain compliant with coding guidelines and regulations
• Continually identifies educational opportunities related to coding and documentation
• Expert educator to clinical teams and medical staff
• Advanced understanding of quality metrics for health system (Vizient, PSI, USNWR)
• Partners with Coding, Clinical Documentation leadership and Medical Directors to coordinate, maintain, and execute advanced project work that includes but, is not limited to, Mortality Review, HAC/PSI Review, Quality Abstraction and Analysis, and/or special and non-traditional project work.

Required:

• RHIT or RHIA or CCS Certification
• Certified Clinical Documentation Specialist
• Bachelor Degree – Healthcare related(will consider candidate currently enrolled in Bachelor program)
• Five years of coding experience in area of expertise
• Clinical expertise and understanding achieved through prior experience working with clinical documentation teams
• Strong personal computer skills (Word, Excel, PowerPoint, Visio)
• Excellent verbal, written, and presentation skills
• Demonstrates critical thinking skills
• Excellent interpersonal skills

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