Medical Coding, Multi-Specialty QA Specialist
Jorie AI
full-time
Posted on:
Location Type: Remote
Location: Illinois • United States
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Salary
💰 $28 - $32 per hour
About the role
- Responsible for the quality assurance of our internal coding team and performs quality audits to ensure compliance with coding guidelines.
- Leverages extensive knowledge of federal, state, and payer-specific regulations and policies to audit coded charts.
- Provide coding, financial and/or operational reports, and provide feedback to improve documentation to maximize revenue and reduce denials.
- Performs audits of the coding team, providing feedback and education based on results.
- Develops overall educational materials based on common trends identified during the audit process.
- Conducts internal coding audits and analysis of issues holding up accounts and follows guidelines.
- Identifies areas of utilization improvements and monitors expected outcomes.
- Identifies recurring problems and procedural deficiencies and provides solutions to eliminate them.
- Research and update new and/or revised coding and compliance standards.
- Performs other related duties as required or requested.
Requirements
- High school diploma or equivalency
- AAPC Certified Professional Coder (CPC) certification is required
- Other relevant certifications (CPMA, CEMC) are a plus
- A minimum of 4 years of experience in a multi-specialty physician practice or clinic, coding multiple medical/surgical specialties/subspecialties
- A minimum of 3 years of prior experience translating coding error trending and quality assurance and translating these results into process improvements with minimum supervision required
- Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies
- Proficiency in using medical billing software and EHR systems
- Attention to detail with the ability to identify/resolve problems and document the outcome
- Ability to collaborate effectively in a team setting to maximize quality and efficiency of operations
Benefits
- 401(k) matching up to 4%
- Medical
- Dental
- Vision
- Long/Short Term Disability insurance
- Life insurance $25,000 Paid by employer
- PTO 2 weeks
- 10 and half Holidays
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD10 codingCPT codingHCPCS codingcoding auditsquality assurancecoding error trendingmedical billing softwareEHR systemsdocumentation improvementutilization improvement
Soft Skills
attention to detailproblem solvingcollaborationfeedback provisioneducational material developmentcommunicationanalytical thinkingteamworkorganizational skillsprocess improvement
Certifications
AAPC Certified Professional Coder (CPC)Certified Professional Medical Auditor (CPMA)Certified Evaluation and Management Coder (CEMC)