Brown University Health · 2 weeks ago
Coding Validator
Rhode Island, United States
Full-time
Onsite
Senior Level
$29/hr - $48/hr
5+ years expBrown University Health is a healthcare organization seeking a Coding Validator to perform audits and provide education on coding practices. The role involves reviewing medical records, ensuring compliance with coding guidelines, and collaborating with various departments to improve documentation accuracy.
EducationHealth CareMedicalUniversities
Hiring Manager
Marlene M.
Responsibilities
Audit professional ambulatory medical records for multispecialty provider organization to assure billed codes are accurately supported by the documentation
Possess knowledge of teaching physician regulations, including incident to, split shared and attestation requirements
Review diagnoses, procedures and modifiers assigned by coders, and record outcomes. Share completed audit results with Validation Team Leadership who will relay results to Coding Manager and/or Director so they can provide feedback to the individual coders, as needed
Review diagnoses and procedures assigned by providers and record outcomes. Shared completed audit results with Validation Team Leadership who will relay results to individual providers and provider leadership
Stay abreast of coding and documentation guidelines, compliance policies, annual coding updates, payer policies and industry changes
Utilize this knowledge in day to day workload
Identify coding/documentation trends that may pose a risk to Brown University Health or its revenue stream and report such trends to management team
Recommend improvements to documentation templates in Epic that will minimize compliance risk and facilitate accurate documentation for the providers
Assure documentation is defensible in the event of an external audit
Work with Practices/Clinics, Providers, Coding Team, Corporate Compliance, Risk Management, Contracting and Payers to help assure that all departments are consistently on the same page and able to provide accurate feedback to coders and providers
Abides by the Standards of Ethical Coding as set forth by the American Academy of Professional Coders and American Health Information Management Association
Performs other duties as assigned
Qualification
Required
Successful completion of coding certification program (CPC)
Understanding of the content of the medical record. Trained in medical terminology, medical science, anatomy and physiology
Ability to recognize and understand clinical documentation pertinent for coding. Good writing skills to communicate coding/documentation issues clearly
Computer literate; capable of researching websites to access regulatory requirements. Ability to navigate the patient electronic medical record
Excellent written and oral communication skills
Proficient in Microsoft Word, Excel and other computer applications
Five years coding experience, preferably in a large, academic multispecialty organization
Preferred
Past auditing experience or strong background in coding preferred
Company
Brown University Health
Brown University Health provides an integrated academic health system offering hospital services, outpatient care and clinical education.
10001+ employees
H1B Sponsorship
Brown University Health has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
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2025 (3)
2024 (2)
2022 (3)
2021 (1)
Funding
Current Stage
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