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Coding Quality Specialist - Health Information Management
Full Time, 8am-4:30pm, Monday-Friday
Sellersville, PA 18960

Responsibilities

The Coding Quality Specialist ensures completion of all coding and abstracting functions while maintaining accurate coding of all diagnoses and procedures in the medical record. The Coding Quality Specialist also abstracts relevant information from the medical record. The Coding Quality Specialist ensures coding compliance with all federal, state and regulatory agencies for coding accuracy and integrity.

Essential Functions of Coding Quality Specialist:
  • Assists in the coordination of work assignments of coding and abstracting technicians to ensure completion, accuracy and integrity of medical records.
  • Provides direction to coding staff in the absence of the Coding Manager to promote quality of coding and efficiency of the department.
  • Participates in quality monitoring activities, along with the Coding Manager, for the coding area on a monthly basis to evaluate and correct coding and DRG assignments to ensure adequate patient database and hospital reimbursement.
  • Retrieves information from the MEDITECHh system in response to requests for coding-related reports as they are received.
  • Collects data as requested from the coding software to evaluate Coding and Reimbursement activity and submits data to the Coding Manager and HIM Director for trend comparison reports, as well as for staffing and budget planning.
  • Assists with training of new coders and HIM staff as necessary to meet goals and objectives set by the department.
  • Exercises leadership that is consistent with the leadership philosophy of Grand View Hospital.
  • Reviews medical records to apply codes for diagnoses, operative and diagnostic procedures according to the current edition of the International Classification of Diseases and Operations and in the HCPCS CPT-4 Coding System in order to ensure information for billing and data collection purposes is accurate, utilizing the hospital's coding software.
  • Abstracts relevant information from each medical record using UHDDS definitions for input into MEDITECH computer system to provide data for the processing of reports.
  • Reviews incomplete record files for the completion of diagnostic information by the physician and the application of codes by the coding technician.

Qualifications

EDUCATION AND EXPERIENCE:
  • Associate's degree – Health Information Management degree required.
  • Over 3-5 years of experience in coding, abstracting and gathering statistical data in a healthcare setting preferred.

LICENSES AND CERTIFICATIONS:
  • Registered Health Information Technician – certified preferred upon hire.

BENEFITS:
  • Medical, free dental, vision insurance for full time and part time
  • 403B
  • Pension plan
  • On-site discounted child care center
  • Tuition reimbursement up to $5250 per year
  • Free life insurance
  • Free parking
  • Paid time off
  • Sick time
  • Flexible spending accounts
Grand View Health is an equal opportunity employer.
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