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QA CODING SPECIALIST - HIMS OP CODING - MIAMISBURG - FT/DAYS
Miamisburg, OHKettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. We are committed to transforming the health care experience with high-quality care for every stage of life. Our service-oriented mission is in action every day, whether it’s by providing care in our facilities, training the next generation of health care professionals, or serving others through international outreach.
Campus Overview
Kettering Health Miamisburg
- Serving the residents of Warren, Butler, and Southern Montgomery counties for over 40 years.
- Kettering Health Miamisburg, formerly Sycamore Medical Center, is a full-service hospital located minutes west of the Dayton Mall on Miamisburg-Centerville Road off I-75 in Miamisburg, Ohio.
- The cornerstone services for KH Miamisburg have been Bariatric surgeries and Orthopedic care.
- Expanded services include emergency care, sleep center, mammography, breast MRI, cardiac catheterization lab, wound center and DEXA scanning.
- 142 bed facility
- Awarded with 100 Top Hospital by IBM Watson Health for the 10th time in 2019.
- In 2020, KH Miamisburg received an “A” from the Leapfrog Group, a national patient safety watchdog, ranking among the safest hospitals in the United States.
- Accredited by the American College of Emergency Physicians as a Level 3 Geriatric Emergency Department.
- KH Miamisburg received several awards from Healthgrades:
- Outstanding Patient Experience Award (2017-2019)
- America’s 100 Best Hospitals for Prostate Surgery Award (2020)
- Joint Replacement Excellence Award (2020)
Responsibilities & Requirements
Job Summary
Under the supervision of the Coding Manager, the Quality Assurance Specialist is responsible for educating and training coding staff on the proper application of medical coding guidelines. This role ensures that coding staff accurately translate patient medical records into standardized codes (ICD-10-CM and CPT) for billing and reimbursement purposes. Additionally, the Quality Assurance Specialist conducts audits of medical record coding to ensure compliance with established guidelines and provides results to relevant stakeholders. This role also administers educational activities based on both internal and external audit findings to promote adherence to state/federal laws and regulatory requirements.
Job Requirements
Minimum Education
• High school diploma or equivalent
• Preferred associate degree in healthcare related field.
Minimum Work Experience
• Minimum three years’ experience coding in acute care hospital required.
• Two years of supervisory / leadership experience preferred.
Required Licenses[Ohio, United States] Coder, Health Information
• RHIT, RHIA, or CCS required.
• RHIT, RHIA, or CCS required.
• Preferred member of AHIMA and/or AAPC Professional Associations.
Required Skills
• Proficient in data entry using Microsoft Office Suite products.
• Skilled in Solventum CRS and CAC systems for coding and documentation.
• Experienced with Epic EMR, navigating electronic medical records with ease.
• Strong written and verbal communication skills, facilitating clear and concise information exchange.
• Thorough application of medical terminology successfully translated into codeable language.
• Solid understanding of anatomy and physiology, with expertise in associating disease processes with corresponding codes.
• In-depth knowledge of regulatory and governing body coding and billing guidelines.
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