Quality Assurance Specialist, Coding Quality and Education
Must work in a location within the United States.Full-TimeMiddle
Salary not disclosed
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Job Details
- Experience
- Minimum five (5) years of medical coding and/or coding quality experience.
- Required Skills
- TrainingQuality AssuranceHIPAA
Requirements
- Certified Coding Specialist (CCS) license or similar nationally accredited coding certification.
- RHIT or RHIA certification accepted.
- Minimum 5 years of medical coding and/or coding quality experience.
- Strong understanding of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS.
- Knowledge of coding compliance guidelines.
- Commitment to staying current on coding guidelines and mandatory continuing education.
- Ability to work independently in a dynamic environment.
- Excellent verbal and written communication skills.
- High school diploma or equivalent.
- High-speed internet connection of 40 Mbps or greater.
Responsibilities
- Perform validation reviews for coding compliance, quality, accuracy, and completeness.
- Review coded accounts to ensure ICD-10-CM, ICD-10-PCS, DRG, CPT, E&M, and HCPCS codes were selected appropriately.
- Prepare coding quality reports and feedback for individuals, teams, and leadership.
- Assist with the documentation of coding policies, procedures, and educational materials.
- Provide training and coaching to team members to improve coding quality performance.
- Collaborate with internal and external partners to identify opportunities and support improvement initiatives.
- Identify and escalate system or process breakdowns to leadership.
- Maintain HIPAA compliance and adhere to the Standards of Ethical Coding.
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