Profee Clinical Data Quality Admin (CDQA) / Coding Auditor / Coding Educator for Virtua Medical Group - CPC Mount Laurel, NJ/en-US/Virtua_Health_External_Career_Site/job/Mount-Laurel-NJ/HIM-Clinical-Data-Quality-Admin--CDQA----Auditor---Educator-for-Virtua-Medical-Group---CPC_R1003048/apply HELPING YOU BE WELL, GET WELL AND STAY WELL As one of New Jerseys largest non-profit health systems, Virtua provides comprehensive health care services to achieve its mission to help people be well, get well and stay well.nbsp; Virtua provides services through Virtua Medical Group with 302 physicians and other clinicians, and at its urgent care centers, hospitals, ambulatory surgery centers, health and wellness centers, fitness centers, home health services, long-term care, rehabilitation centers and paramedic program. A leader in maternal and child health services, Virtua delivers nearly 8,000 babies a year. It provides health services to 1,500 businesses, and participates in Virtua Physician Partners, a clinically integrated network of 1,400 physicians and other clinicians. Virtua is affiliated with Penn Medicine for cancer and neuroscience and the Children's Hospital of Philadelphia (CHOP) for pediatrics.nbsp; Virtua employs more than 9,000 and has been honored as the #1 Best Place to Work in the Delaware Valley every year since 2007. It is the recipient of a 4-star rating from the Centers for Medicare and Medicaid Services (CMS) for quality of care, and its hospitals earned straight As in patient safety by The Leapfrog Group and the 2016 Patient Safety Award from Healthgrades.nbsp; U.S. News and World Report ranked Virtuas Mount Holly and Voorhees hospitals as High Performing Hospitals and Voorhees as a Best Regional Hospital. Virtua is also the recipient of the Consumer Choice Award from the National Research Corporation. Employment Type: Employee Employment Classification: Regular Time Type: Full time Work Shift: 1st Shift (United States of America) Total Weekly Hours: 40 Location: Mount Laurel, NJ Additional Locations: Job Summary: Summary: Responsible for coding quality and audits, education and training, etc. for ICD-10-CM, CPT and HCPCS codes for Virtua Medical Group and Pro-Fee coding department.nbsp; Responsible for developing, implementing and maintaining compliance plan for provider coding and abstracting.nbsp; Responsible for coding quality and audits, education and training. Responsible for developing, implementing and maintaining compliance plan fornbsp;VMG coding and abstracting. Participates in system administration maintenance duties for coding and abstracting software. Position Responsibilities: Audits Designs audit tools to monitor coding and abstracting quality and compliance; performs audits; provides timely feedback to staff and providers; makes recommendations for improvement. Performs special audits to facilitate quality improvements and compliance (External Coding Audit Response: Conducts exit interviews with external auditors, prepares rebuttals and appeals, take appropriate action with responses (including correcting data and educating coders and providers). Conductsnbsp;meetings to discuss outcomes, reviews reports, works with physicians to provide appropriate clinical documentation, to ensure compliant assignment of codes. Responds to daily questions from coders and providers regarding correct application of coding guidelines to individual accounts. Accounts Receivable Assists with monitoring of Discharge Not Final Billed reports, troubleshooting, resolving complex problems with individual accounts in order to facilitate appropriate reductions in A/R and accounts held for coding. Codes charts when urgently needed to facilitate A/R goals. Works closely with all areas to provide efficiencies in operational coding workflow, adjustment in workflow queues, etc. Patient Accounting Resolution Works closely with Patient Accounting vendornbsp;to resolve coding and reimbursement issues, serves as an escalation point, and answers questions regarding coding requirements. Policies and Procedures Develops policies and procedures on coding, data abstraction and Corporate Compliance. Documents and enforces policies and procedures for staff and providersnbsp;and provides feedback to appropriate supervisors and/or staff. Recommends changes to policies, procedures, charge master and documentation requirements to insure appropriate reimbursement. Monitors and reports on productivity and quality standards. Coding, abstracting and state data system maintenance Maintains and updates systems to collect accurate data for billing and state data collection as well as hospital statistical requirements. Identifies and resolves problems with the assistance of IS and vendor counterparts. Manages downtime and puts back up plans into place. Facilitates timely completion of state reporting by monitoring reports and taking action to resolve accounts in question. Position Qualifications Required / Experience Required: nbsp; 3 years Pro-Fee auditing and education experience required General Pro-Fee coding experience required, multi-specialty preferred (cardiac, obstetrics, orthopedics, medical-surgical, etc.) Knowledge of PC database applications, Microsoft Office, spreadsheet design, encoder required. Knowledge of ICD-9, CPT-4, DRGs, APCs and CMI required. Able to develop and present education presentations required. Required Education: Bachelor or Associates Degree in HIM, or Coding Certificate Program, or equivalent experience, leading to appropriate certification. Training/Certifications/Licensure: Certification as CPC by AAPC required, CPMA preferred Posted YesterdayFull timeR1003048 Be Well, Get Well and Stay Well That's our mission. Were dedicated to offering the best quality care through our extensive range of services and facilities.nbsp; Our doctors, clinical practitioners, and administrative staff are a respectful, caring team of professionals committed to providing world-class quality healthcare.nbsp; We continually work to be your premier choice of health and wellness in South New Jersey.