Performs quality reviews of the coders or coordinates reviews with PSC Auditing Team Assists in the development of strategy, specific goals, objectives, budgets and performance standards for the PSC operations (as applicable).
July 04, 2021
Maintains a high level of technical knowledge and skills related to Diagnosis Related Group (DRG), Current Procedural Terminology (CPT) and International Classification of Diseases (ICD) codes, documentation standards and billing requirements which are essential to monitor and advise management of general health care industry practices and governmental regulations along with changing areas of governmental fraud and abuse focus.
August 09, 2021
Assists the Director Payment Resolution in the development of broader goals and objectives based on PBS needs and to ensure continuous improvement in quality, operational cost effectiveness, customer satisfaction and resource utilization.
September 17, 2021
Participates in developing standard coding policies/procedures/guidelines to ensure compliance with federal, state and local regulatory guidelines to minimize risk for the organization.
September 21, 2021
Monitors data integrity on regular basis to ensure abstracted data elements meet requirements, performs staff training and education, communicates with associated departments including semi-annual data submission to state health departments.
October 29, 2021
Works with operational directors throughout the BMG and Foundations to identify and address any missed opportunities regarding revenue and corrections to daily charges.
November 18, 2021
Provide support to all other coding and compliance initiatives, workflows and processes including dictation feedback, coding processes, payor notification, CERT response, Coding and Compliance questions from Service Now, etc.
November 26, 2021