Coding Quality Specialist II

A coding quality specialist performs medical record coding and documentation reviews for emergency department, radiology, ambulatory surgery, observation, other outpatient and professional encounters; conducts coding education based on review findings; acts as the coding and documentation resource for coding staff, leadership and CHST providers; assists in developing action plans in response to identified coding and documentation issues; provides ongoing training to coders, leadership, providers and other organizational staff.

• CODING QUALITY REVIEW: Performs emergency department, radiology, ambulatory surgery, observation, other outpatient and professional coding/billing reviews and any follow up reviews to assure appropriate and compliant coding and billing is maintained. Assists in developing and implementing appropriate work plan if necessary. Performs reviews based on the annual coding risk assessment. Performs supplementary coding/billing reviews as requested. Knowledgeable in coding and billing for both outpatient technical and clinician professional services.
• CODING EDUCATION: Performs initial coding and documentation training and orientation for new emergency department, radiology, ambulatory surgery, observation, other outpatient, professional coders and CHST providers. Provides coding training and coaching based on review results. Conducts coding and documentation training as requested by management, providers, or service line staff. Acts as coding and documentation resource for management, providers, and service line staff.
• POLICY AND PROCEDURE DEVELOPMENT AND SUPPORT: Assists in developing and revising policies and procedures for emergency department, radiology, ambulatory surgery, observation, other outpatient, and professional coding, documentation, and billing to assure compliance with state and federal coding, billing, and documentation regulatory requirements.
• Participates on committees and/or work groups as assigned.

WORK EXPERIENCE

• At least 3 years job and 2 years coding review and coding experience in a hospital setting required

• Two-year Associate's degree or equivalent experience required

• Registered Health Information Administrator (RHIA) or Registered Health Information Technician (RHIT), or Certified Coding Specialist (CCS) or Certified Coding Specialist – Professional (CCS-P) or Certified Outpatient Coder (COC) required
• Clinical Documentation Improvement Practitioner (CDIP) or Certified Clinical Documentation Specialist (CCDS) preferred

About us

Children’s Health values the role each member of our team plays in helping us make life better for children. We employ more than 7,500 people and provide rewarding career opportunities that help them reach their highest potential.
We also hold Magnet recognition from the American Nurses Credentialing Center for nursing excellence, we serve as the primary pediatric teaching facility for the University of Texas Southwestern Medical Center, and we are widely recognized for delivering high quality care.
Children’s Health has also been named one of the 150 Top Places to Work in Healthcare by Becker’s Healthcare for nine consecutive years.
We invite you to learn more about Children’s Health.

Benefits
Children’s Health offers competitive pay, a comprehensive benefits program and opportunities for learning and career development. We promote a diverse and inclusive workplace, and our team members have a voice in their work through surveys and town halls.
We invite you to learn more about Children’s Health.