Senior Consultant, ICD-10

Company Name:
MetroSouth Medical Center
The Sr. Consultant, Coding & HIM will participate in HIM/coding and Revenue Cycle engagements for QHR clients, focusing on coding quality, compliance and the role of coding in the revenue cycle process. Ideal candidate will have a minimum of 5 years consulting experience, ICD 10 Trainer Certification, in/out patient coding and E&M; knowledge. Extensive travel required.
Qualified and interested candidates may contact Bonnie Young at or email:
Analyzes, evaluates and audits client facility medical records and billing records to ensure the accuracy of diagnostic, procedure, Evaluation and Management , DRG and/or APC codes for all healthcare providers (on-site and off-site reviews).
Identifies coding and documentation issues, including clinical documentation issues provides recommendations on the appropriate solution to increase accuracy and improve coding competencies according to published coding guidelines, policies and procedures.
Provides education to coders based on the inpatient, outpatient and Physician coding review findings.
Evaluates health information processes and systems to support coding accuracy and efficiency in all healthcare environments.
Participates in the planning and development of HIM policies and procedures for QHR client facilities and external clients.
Performs clinical validation audits and interpretation of medical documentation to support capture of all appropriate codes according to audit guidelines for inpatient, outpatient, clinic, emergency department and Physician services.
Responsible for file maintenance including entry into databases for tracking and trending audit results.
Participate in coding research and Q&A; activities.
Prepares project reports per prescribed QHR consulting guidelines and maintains frequent and regular contact with supervisor and seeks assistance.
Developing and maintaining strong client relationships.
Work as a team member with various disciplines for marketing/sales initiatives.
Maintains professional certification with continuing education credits.
Subject matter expert in the areas of coding and reimbursement, including inpatient, outpatient, emergency department, clinic, Physicians, DRGs, APCs and OPPS regulations.
Knowledge of medical records, medical terminology, anatomy and physiology is required.
Strong attention to detail with the ability to multi-task and meet multiple deadlines.
Subject matter expert in the areas of coding and reimbursement, including inpatient, outpatient, emergency department, clinic, Physicians, DRGs, APCs and OPPS regulations.
Proficient use of Excel, Word and PowerPoint.
Excellent written, verbal and interpersonal communication skills as well as presentation skills.
Bachelor's degree in Health Information or related discipline.
Five or more years of inpatient, outpatient and Physician coding experience.
AHIMA ICD-10 Approved Trainer Certification REQUIRED
Three to five years healthcare consulting experience.
Experience using diagnosis, procedure, Evaluation and Management (E&M;), CPT, DRG and APC coding specifications.
CCS (Certified Coding Specialist) or equivalent required. Additional certification as a Registered Health Information Administrator (RHIA), or Registered Health Information Technician RHIT certifications required. CCS, CCS-P, CCDS Preferred.
Salary is commensurate with experience.
Comprehensive benefits package including medical/dental/vision, 401(k).
Job: Finance
Primary Location: TN-Brentwood (Nashville Region)
Organization: Consulting
Employee Status: Full-time
Req ID: 1428493

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