Quality Assurance Coder
Optimal Care
full-time
Posted on:
Location Type: Remote
Location: Mississippi • Missouri • United States
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Salary
💰 $21 - $30 per hour
About the role
- Apply accurate ICD-10-CM diagnosis codes based on patient conditions and disease processes in accordance with current coding guidelines
- Review and validate Face-to-Face documentation for Home Health and Hospice to ensure regulatory compliance
- Identify the appropriate focus of care for Home Health and confirm eligibility criteria for Hospice patients
- Audit medical records using critical thinking skills to ensure documentation accuracy and compliance
- Communicate significant findings, compliance concerns, or documentation discrepancies to the Director of Quality Assurance and QA Specialists
- Assist in tracking documentation and coding to support timely billing and regulatory adherence
- Prepare reports as directed by the Director of Quality Assurance
- Monitor and stay current on Conditions of Participation (CoPs) and regulatory changes impacting quality improvement and patient care
- Ensure compliance with federal, state, local, Medicare, Medicaid, third-party payer, and OSHA regulations
- Identify and report potential coverage or reimbursement concerns
- Manage workflow, recognize sequencing issues, and recommend solutions to prevent disruption to patient care
- Assist with special audits and quality initiatives as assigned
Requirements
- High School Diploma or GED
- Current ICD-10 Coding Certification
- Minimum 3 years of quality assurance experience
- Demonstrated interpersonal skills with ability to communicate effectively
- Demonstrated decision making and financial management skills
- Exhibits working knowledge of regulations and reimbursement in home health and hospice
- Willing to develop new critical thinking skills
Benefits
- Minimum of 3 Weeks Paid Time Off (PTO)
- Company Vehicle Program
- Mentorship Culture
- Medical, Dental, and Vision Insurance
- 401(k) with Employer Match
- Mileage Reimbursement
- Cutting Edge Technology
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard Skills & Tools
ICD-10-CM codingmedical record auditingdocumentation accuracyregulatory compliancebilling supportquality assurancecritical thinkingreport preparationworkflow managementsequencing issue resolution
Soft Skills
interpersonal skillseffective communicationdecision makingfinancial managementproblem solvingadaptabilityattention to detailteam collaborationanalytical thinkingtime management
Certifications
ICD-10 Coding Certification