Lead Senior Coder QA
New
J
JobgetherMedical coding
Fully remote work arrangement within the United States.Full-TimeLead
Salary65,000 - 75,000 USD per year
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Job Details
- Experience
- At least 5 years of experience abstracting and coding general acute hospital inpatient and outpatient records, as well as physician medical records.
- Required Skills
- Quality Assurance
Requirements
- Hold active certification as a medical coder from a recognized United States medical coding credentialing institution.
- Have at least 5 years of experience abstracting and coding general acute hospital inpatient and outpatient records, as well as physician medical records.
- Use ICD-9/ICD-10-CM coding guidelines and applicable Official Coding Clinics.
- Demonstrate the ability to function in a lead capacity and train medical record reviewers or coding professionals.
- Have expertise to serve as a “Master Coder” or gold-standard coding resource across medical record coding projects.
- Understand inpatient and outpatient coding practices, RADV requirements, coding validation, and medical record review.
- Bring quality assurance, analytical, problem-solving, and decision-making skills for complex or disputed coding determinations.
- Communicate clearly, provide constructive feedback, answer escalated questions, and support the development of other coders.
- Maintain attention to detail and high standards of coding accuracy, productivity, compliance, and confidentiality.
- Work effectively in a fully remote environment while meeting established attendance, productivity, and quality expectations.
Responsibilities
- Perform primary and secondary coding validation reviews of inpatient, outpatient, and physician office medical records in accordance with RADV guidelines and applicable coding standards.
- Conduct intake evaluations, including medical record validity, attestation status, non-compliance issues, and other required RADV validation checks.
- Review medical record disputes and appeals, ensuring coding decisions are accurate, well-supported, and compliant with established guidelines.
- Review coder work for quality and provide timely feedback, coaching, and training.
- Lead and support a team of up to 15 primary and senior coders, providing day-to-day guidance and supporting team performance.
- Mediate coding decisions between primary and senior coders and serve as an escalation point for complex coding questions.
- Enter and maintain coding data using encoder, CDAT-M, and other required software applications.
- Identify unique record or process issues and report problems to project leadership when appropriate.
- Maintain the security and confidentiality of medical records and Protected Health Information (PHI).
- Support training-material development and assist with onboarding and training new coders.
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