[Remote] Quality Assurance Specialist, Coding Quality and Education (Facility)

🌍 Remote, USA 🎯 Full-time 🕐 Posted Recently

Job Description

Note: The job is a remote job and is open to candidates in USA. Revology is a technology-enabled healthcare revenue cycle management firm providing outsourced services to hospitals and health systems. The Quality Assurance Specialist for Coding Quality and Education is responsible for reviewing coded accounts for accuracy and providing feedback and training to coders and leadership.

Performs validation reviews for coding compliance, quality, accuracy and completeness
Reviews coded accounts to ensure codes were selected appropriately. This is inclusive of ICD-10-CM diagnosis codes (to their highest specificity and sequencing), ICD-10-PCS and DRG assignment for inpatient facility coding, CPT procedure codes, E&M codes, HCPCS and modifiers for outpatient coding
Prepares coding quality reports / feedback for distribution to individuals, teams, and revenue cycle leadership
Assists with the documentation of coding policies and procedures (including educational materials and tip sheets) that may be used for Revology and / or client benefit
Provides training and coaching to team members to improve coding quality performance for the team(s) under their responsibility
Works collaboratively and effectively with internal and external partners, including coding and revenue cycle leadership to identify opportunities; supports improvement or optimization initiatives when assigned
Identifies and escalates system or process breakdowns to leadership; assists with resolution when requested
Complies with and holds with utmost regard all compliance requirements to protect patient privacy and confidentiality (HIPAA compliance); abides by the Standards of Ethical Coding
Stays curious, kind and contributes positively to the Revology culture. The health + harmony of the team is everybody’s responsibility at Revology

Certified Coding Specialist (CCS) license or similar from a nationally accredited medical coding organization required; Registered Health Information Technician (RHIT) or Registered Health Information Administrator (RHIA) accepted
Minimum five (5) years of medical coding and/or coding quality experience
Understanding of all or a combination of ICD-10-CM, ICD-10-PCS, CPT, HCPCS, including coding compliance guidelines
Must remain current on coding guidelines, rules and regulations, and new codes. Must complete mandatory continuing education
Ability to work independently to accomplish goals in a dynamic environment
Excellent communication skills (verbal and written) required to support interactions with internal and external partners
High school diploma or equivalent required
Bachelor's degree or equivalent experience preferred

Revology is a technology-enabled healthcare revenue cycle management firm using a tech smart-from-the-start strategy. It was founded in 2022, and is headquartered in Iowa City, Iowa, USA, with a workforce of 51-200 employees. Its website is http://www.revologyhealth.com/.

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