Senior Autonomous Coding Quality Analyst
US Acute Care Solutions
full-time
Posted on:
Location Type: Remote
Location: Remote • Ohio • 🇺🇸 United States
Visit company websiteSalary
💰 $59,364 - $109,823 per year
Job Level
Senior
About the role
- The Senior Autonomous Coding Quality Analyst (SACQA) validates various outputs from artificial intelligence (AI) code sets.
- Ability to pay close attention to detail.
- Responsible for complaint AI build and validation of the AI outputs including MDM scoring, primary and secondary diagnosis codes, CPT codes, MOD, etc.
- Perform quality assurance reviews on un-codable cases flagged by AI for human review to understand the reasons and produce mitigation plans.
- Track key metrics such as accuracy rates, audit findings, and areas requiring manual review to identify trends and opportunities for improvement.
Requirements
- High school diploma or equivalent, associate degree or higher preferred.
- Coding certification as required by the USACS compliance plan.
- CCS, RHIT or CPC Plus CPMA (Auditing Certification)
- At least five years of ED professional coding experience, with demonstrated CAC and/or Autonomous Coding knowledge best practices.
- Must be currently meeting all quality standards.
Benefits
- best in class benefit programs with a wide array of options.
Applicant Tracking System Keywords
Tip: use these terms in your resume and cover letter to boost ATS matches.
Hard skills
AI code validationMDM scoringprimary diagnosis codessecondary diagnosis codesCPT codesquality assuranceaccuracy ratesaudit findingscoding knowledgeCAC
Soft skills
attention to detailanalytical skillsproblem-solvingcommunicationorganizational skills
Certifications
coding certificationCCSRHITCPCCPMA