Quality Assurance Specialist III

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🕒 April 16

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Logo of St. Jude Children's Research Hospital

St. Jude Children's Research Hospital

5001 - 10000 employees

🏥 Healthcare

🤝 Non-profit

Healthcare • Non-profit

St. Jude Children's Research Hospital is a global leader in the research and treatment of pediatric cancer and other life-threatening diseases of childhood. Headquartered in Memphis, Tennessee, it is the first and only National Cancer Institute-designated Comprehensive Cancer Center devoted solely to children. Recognized as one of the world’s premier pediatric research and treatment institutions, St. Jude focuses on conditions like acute lymphoblastic leukemia and brain tumors. The hospital treats about 8,600 children each year and shares research and treatments to improve survival rates for children worldwide through its global initiatives.

📋 Description

• Assigns ICD-10-CM, ICD-10-PCS, and/or CPT codes. • Reviews and interprets physician documentation to appropriately assign diagnosis and procedure codes. • Communicates with and provides feedback to the education team and/or providers. • Reviews patient charges to determine necessary coding to complete the account. • Identifies principle and secondary diagnoses and procedure codes from the electronic medical record. • Utilizes the encoder or coding books to generate ICD-10-CM, ICD-10-PCS, and CPT codes for diagnosis and procedures. • Sequences diagnosis and procedures to generate appropriate billing. • Queries physicians to obtain diagnosis if not clearly provided in records. • Utilizes other available resources for assignment of codes as necessary. • Assists other coders in resolving coding problems. • Provides ICD-10 and CPT, for physician research projects, and for quality reporting purposes. • Completes abstracts for records as appropriate. • Assists in correction of problem accounts. • Reviews charts for completeness. • Participates in education and maintains certification. • Assists in auditing records. • Maintains concurrent coding for inpatient records.

🎯 Requirements

• Required H.S. Diploma or equivalent • Required Licenses/Certifications: CCA, CCS, CCS-P, CIPC, COC, CPC, CRC, RHIA, RHIT • Required 4 years coding experience with preferred experience using an encoder and experience using an electronic medical record • Preferred Skill: Prior experience in Hematology and Oncology coding is required. Certified Hematology and Oncology Coder (CHONC) credentials are preferred.

🏖️ Benefits

• Health insurance • Retirement plans • Paid time off • Flexible work arrangements • Professional development

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