Medical Coding, Multi-Specialty QA Specialist

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

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.

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