Coding Quality Advisor

Posted 9 days agoViewed

💎 Seniority level: Senior, 5+ years

📍 Location: United States

💸 Salary: 100000.0 - 160000.0 USD per year

🔍 Industry: Medical Coding

⏳ Experience: 5+ years

🪄 Skills: SQLData AnalysisMicrosoft ExcelWritten communicationComplianceVerbal communicationReportingClient relationship management

A current AAPC or AHIMA coding certification(s)
5+ years recently leading audit plans for procedure and diagnosis codes
5+ years leading audit plans for emergency department, primary care, and/or E/M leveling
Recent experience leading audit plans in both professional fee and facility outpatient settings
Consulting experience, including in middle revenue cycle, coding compliance and/or coding litigation
Middle revenue cycle and/or health information management experience
Experience managing in-house coding teams and/or coding vendors
Deep understanding of current coding guidelines, reimbursement guidelines, medications, and documentation requirements
Recent experience communicating verbally and in writing with external clients
Fluency in productivity tools like Microsoft (Excel, PowerPoint) and Google Suite (Sheets, Docs, etc.)
Enthusiasm for technological innovation in medical coding

Reviewing medical records across an array of outpatient specialties to ensure that the correct diagnosis and procedure codes were assigned
Working with clients to establish and maintain medical coding accuracy thresholds
Preparing executive presentations and reports for colleagues and clients
Developing and enhancing internal and client-facing analytics and reporting
Conducting strategic analysis and scenario modeling across functional disciplines
Providing coding insights, education, and examples to Fathom engineering and client success teams to accelerate product development
Tracking, aggregating and summarizing the changing coding and billing rules for the engineering and client success teams

Posted 5 months ago

📍 USA

💸 100000 - 160000 USD per year

🔍 Healthcare technology

🔧 Requirements

Current AAPC or AHIMA certification(s) and medical coding/auditing outpatient experience in a professional setting.
Prior experience working in healthcare, especially healthcare consulting.
Experience working with medical coding guidelines and documentation requirements.
Working knowledge of anatomy/physiology, disease process and medical terminology.
Familiarity with medications and reimbursement guidelines.
A proven ability to communicate effectively across domains and experience levels.
Drive to innovate, identify novel approaches, and act decisively.
Fluency in productivity tools like Microsoft (Excel, Powerpoint) and Google Suite (Sheets, Docs, etc.).

💡 Responsibilities

Working with clients to establish and maintain medical coding accuracy thresholds.
Developing and enhancing internal and client-facing analytics and reporting.
Reviewing and auditing medical records and physician documentation for diagnosis and procedure code accuracy.
Conducting strategic analysis and scenario modelling across functional disciplines.
Preparing executive presentations and reports for internal and external audiences.
Tracking, aggregating and summarizing coding and billing rules for the product team.
Collaborating with engineering and product teams on features and roadmap.
Providing coding education and training to internal engineering and product teams.

Project ManagementData AnalysisProduct ManagementStrategyCommunication SkillsAnalytical SkillsCollaborationMicrosoft Excel

Posted 5 months ago