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

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.

📋 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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