Coding Quality Auditor & Specialist

Category: Health Care

Location:

The CodingQuality Auditor and Specialist is responsible for assuring coding guidelinesand regulations are not compromised during the decision-making process relatedto clinical documentation and the coding of this documentation.This position partners with ClinicalDocumentation Nurses, Physicians, and other licensed providers to improve thequality of documentation, assuring best quality performance and representationof care provided. In addition, the Coding Quality Auditor and Specialistcollaborates with the CMOs to ensure the integrity of the Health Record isestablished through best practices in Clinical Documentation and Coding.

TheCoding Quality Auditor and Specialist is responsible for maintaining qualitywork queues and quality reports, advanced and complex project work thatincludes but, is not limited to, Risk Adjustment, Mortality Review, HospitalAcquired Condition (HAC) and Patient Safety Indicator (PSI) Review, QualityAbstraction and Analysis, and/or special and non-traditional project work.Incumbents to this role have a mastery of advanced clinical documentationintegrity and quality concepts, coupled with the ability to consistentlyidentify root causes and deliver measurable results. Key to this role is theability to lead and facilitate quality initiatives and external rankingsinitiatives.