Medical Coding, Multi-Specialty QA Specialist
Job Description:
• Responsible for the quality assurance of our internal coding team and performs quality audits to ensure compliance with coding guidelines.
• Leverages extensive knowledge of federal, state, and payer-specific regulations and policies to audit coded charts.
• Provide coding, financial and/or operational reports, and provide feedback to improve documentation to maximize revenue and reduce denials.
• Performs audits of the coding team, providing feedback and education based on results.
• Develops overall educational materials based on common trends identified during the audit process.
• Conducts internal coding audits and analysis of issues holding up accounts and follows guidelines.
• Identifies areas of utilization improvements and monitors expected outcomes.
• Identifies recurring problems and procedural deficiencies and provides solutions to eliminate them.
• Research and update new and/or revised coding and compliance standards.
• Performs other related duties as required or requested.
Requirements:
• High school diploma or equivalency
• AAPC Certified Professional Coder (CPC) certification is required
• Other relevant certifications (CPMA, CEMC) are a plus
• A minimum of 4 years of experience in a multi-specialty physician practice or clinic, coding multiple medical/surgical specialties/subspecialties
• A minimum of 3 years of prior experience translating coding error trending and quality assurance and translating these results into process improvements with minimum supervision required
• Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies
• Proficiency in using medical billing software and EHR systems
• Attention to detail with the ability to identify/resolve problems and document the outcome
• Ability to collaborate effectively in a team setting to maximize quality and efficiency of operations
Benefits:
• 401(k) matching up to 4%
• Medical
• Dental
• Vision
• Long/Short Term Disability insurance
• Life insurance $25,000 Paid by employer
• PTO 2 weeks
• 10 and half Holidays
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• Responsible for the quality assurance of our internal coding team and performs quality audits to ensure compliance with coding guidelines.
• Leverages extensive knowledge of federal, state, and payer-specific regulations and policies to audit coded charts.
• Provide coding, financial and/or operational reports, and provide feedback to improve documentation to maximize revenue and reduce denials.
• Performs audits of the coding team, providing feedback and education based on results.
• Develops overall educational materials based on common trends identified during the audit process.
• Conducts internal coding audits and analysis of issues holding up accounts and follows guidelines.
• Identifies areas of utilization improvements and monitors expected outcomes.
• Identifies recurring problems and procedural deficiencies and provides solutions to eliminate them.
• Research and update new and/or revised coding and compliance standards.
• Performs other related duties as required or requested.
Requirements:
• High school diploma or equivalency
• AAPC Certified Professional Coder (CPC) certification is required
• Other relevant certifications (CPMA, CEMC) are a plus
• A minimum of 4 years of experience in a multi-specialty physician practice or clinic, coding multiple medical/surgical specialties/subspecialties
• A minimum of 3 years of prior experience translating coding error trending and quality assurance and translating these results into process improvements with minimum supervision required
• Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies
• Proficiency in using medical billing software and EHR systems
• Attention to detail with the ability to identify/resolve problems and document the outcome
• Ability to collaborate effectively in a team setting to maximize quality and efficiency of operations
Benefits:
• 401(k) matching up to 4%
• Medical
• Dental
• Vision
• Long/Short Term Disability insurance
• Life insurance $25,000 Paid by employer
• PTO 2 weeks
• 10 and half Holidays
Apply tot his job
Apply To this Job