Memorial Sloan Kettering's Health Information Management team is seeking a QualityAssessmentCoordinator (Coding Internal Auditor) to monitor the quality control standards for all aspects of clinical coding by auditing and validating the ICD-10-CM and CPT codes.
Maintain accurate, legible, organized reports; coordinate, schedule, and facilitate meetings with coders; provide updates to Manager and department, as necessary.
Participate in the development of departmental guidelines; ensure accurate and comprehensive data collection within established time frames; assist in improving audit forms/tools to analyze coding accuracy/consistency; prepare reports that identify trends, including inconsistencies in policies/procedures with recommendations for improvement; review/resolve issues from coders, administration/mangers and clinical staff.
Closely manage special projects assigned to the department by providing feedback to manager regarding deadlines and outcomes; obtain accurate data necessary to complete project by utilizing all available tools/resources, within established time frames; establish systems for the efficient use of the data.
Adhere to all applicable regulatory/departmental policies related to coding/billing; respond to requests for data analysis/reports by reviewing/summarizing data obtained from audits and presenting to appropriate coders/managers; review daily reports to ensure documentation issues are resolved; establish communication mechanisms with internal/external departments to resolve pending issues; revise/resubmit information, as needed.
Extensively review medical record to ensure completeness for coding accuracy and optimal reimbursement; follow-up with appropriate departments when deficiencies/errors in documentation are noted, in a timely and efficient manner; conduct quality assessment audits and report findings to evaluate general medical record compliance, making necessary corrections, as needed; assistHIMmanagement staff with specific quality assurance projects, such as JCAHO surveys.
Assist in the training and education of new and existing coders by reviewing policies/procedures and providing feedback on coded visits; respond to coders inquiries, giving advice based on established guidelines; identify deficiencies and provide individual training sessions, as necessary, ensuring accuracy and compliance; provide recommendations for departmental/group education on specific topics and areas of concern.
A Bachelor's Degree and/or RHIA/RHIT or Coding Credential
Previous auditing experience preferred
At least 4-7 years ofcoding experience, specifically in E&M and CPT
Extensive knowledge of ICD-10-CM coding, anatomy and physiology, medical terminology
Ability tohandle complex work assignments and/or provide guidance to other less experienced staff
Internal Number: 2020-43970
About Memorial Sloan-Kettering Cancer Center
As one of the world's premier cancer centers, Memorial Sloan-Kettering Cancer Center is committed to exceptional patient care, leading-edge research, and superb educational programs. The close collaboration between our physicians and scientists is one of our unique strengths, enabling us to provide patients with the best care available today as we work to discover more effective strategies to prevent, control, and ultimately cure cancer in the future. Our education programs train future physicians and scientists, and the knowledge and experience they gain at Memorial Sloan-Kettering has an impact on cancer treatment and the biomedical research agenda around the world.