Job Description
Key Responsibilities
- Supervise daily operations of the coding QA team, specifically SDS & Observation audits.
- Conduct internal audits to evaluate accuracy, consistency, and regulatory compliance in SDS coding, when needed.
- Monitor coding performance and quality metrics; provide actionable feedback to improve team effectiveness.
- Develop, implement, and maintain coding QA policies and procedures in collaboration with leadership.
- Collaborate with coding education staff to identify training needs and deliver targeted education based on audit findings.
- Act as a subject matter expert for SDS & Observation coding questions and escalated cases.
- Ensure coding practices align with federal guidelines, payer-specific policies, and organizational goals.
- Provide detailed reporting and analysis of audit results to leadership, identifying trends and risks.
- Maintain up-to-date knowledge of coding standards, CMS ...
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