Jamie Rouse
Coding Auditor @ECU Health
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WORK HISTORY
Coding Auditor @ECU Health
Responsible for the creation and maintenance of audit and education programs that will ensure success for all staff andemployed providers based on their specific needs and support accurate, compliant coding practices for ECU HealthPhysicians in accordance with coding guidelines. Conducts internal auditing of medical coding activities usingconcurrent, prospective and retrospective models as appropriate and/or required. Reviews electronic healthinformation to determine accuracy of coding, billing and documentation, including validation of ICD10CM, CPT, HCPCSand modifier assignment related to medical provider professional Part B services according to regulatory andinstitutional policy. Reports findings, both written and verbal, to leadership as necessary to include provision ofcorroborating regulatory or policy guidance. Maintains documentation of all audit activities and communicates thefindings with leadership. Utilizes findings to generate topics for education and training, including code assignment,process improvement, system logic, risk reduction and reimbursement optimization. Develops and coordinateseducation based on the specific needs of the individual or functional unit. Provides orientation and education to newprovider hires. Assists coding leadership with education, training and review of coding personnel activities as needed.
EDUCATION
Pitt Community College
Associate of Arts and Sciences (AAS)
ABOUT JAMIE ROUSE
With 14 years in the health information field, my expertise lies in creating and…
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