Facility Coding Quality Specialist
New
Based in United StatesFull-TimeMiddle
Salary not disclosed
Apply NowOpens the employer's application page
Job Details
- Experience
- 2–3+ years
- Required Skills
- Microsoft Excel
Requirements
- 2–3+ years of inpatient and outpatient facility coding and/or auditing experience.
- Active coding certification from AHIMA or AAPC (CCS, CPC, RHIA, or RHIT strongly preferred).
- Strong knowledge of ICD-10-CM/PCS, CPT, HCPCS, and APC reimbursement methodologies.
- Experience working with EMR systems and reviewing electronic and handwritten medical records.
- Solid understanding of coding compliance, documentation standards, and payer requirements.
- Strong analytical and problem-solving skills with attention to detail.
- Excellent written and verbal communication skills for educating and collaborating.
- Ability to manage multiple priorities and work independently in a remote environment.
- Proficiency in Microsoft Office, particularly Excel and Word.
Responsibilities
- Perform detailed retrospective reviews of medical records to identify coding, billing, and documentation errors in alignment with AHA, CMS, AMA, and CPT guidelines.
- Conduct second-level coding reviews to validate diagnosis and procedure code accuracy and ensure compliance with reimbursement regulations.
- Analyze audit results to identify root causes of coding errors and support corrective action plans.
- Provide guidance, feedback, and education to internal coding staff on compliance, documentation, and payer requirements.
- Respond to coding-related inquiries, denials, and compliance questions with research-based resolutions.
- Monitor coder performance and maintain quality assurance benchmarks.
- Support the development of improved coding processes, tools, and training initiatives.
- Prepare reports, deliverables, and status updates for leadership.
View Full Description & ApplyYou'll be redirected to the employer's site
