Coding Quality Coordinator

This is a fully remote position, open to applicants in United States.

📋 Description

• Develop Aptarro RCX rules based on NCDs, LCDs, Carrier Policies, and CCI edits

• Verify that medically necessary ICD-10 codes and suitable modifiers are included prior to submission

• Deliver extensive coding education and training programs

• Train healthcare providers on best documentation practices

• Offer guidance, mentorship, and support on intricate coding inquiries

• Evaluate training effectiveness through assessments and feedback

• Educate physicians, APPs, and support staff, providing constructive feedback

• Uphold quality and productivity standards while monitoring compliance

• Identify trends in processes and suggest improvements for efficiency

• Stay updated on coding guidelines and state as well as federal regulations

• Ensure compliance with coding, documentation, compliance, and reimbursement regulations

• Organize training for new RCM Charge Capture hires

• Facilitate ongoing training for Charge Capture team members

• Collaborate with peers in Coding and Revenue Integrity, along with other functional areas

• Engage in special projects and undertake other assigned responsibilities

• Safeguard patient confidentiality and report any suspected compliance issues

⛳️ Requirements

• CPC, CCS-P, CMRS, or AAPC certification is mandatory

• High School Diploma or equivalent is required

• Minimum of 3 years of experience is necessary

• Familiarity with Medical Billing and Coding Terminology at the entry level is preferred

• Experience in Urology or a physician practice environment is advantageous

• Understanding of medical terminology, CPT, ICD coding, and the revenue cycle process

• Proficiency in EHR software systems and Microsoft Office applications

• Capability to generate reports and create presentations

• Excellent verbal and written communication skills

• Ability to collaborate effectively across disciplines and business lines

• Proficient in managing multiple tasks and resolving problems

• Strong analytical skills with the ability to draw conclusions and make recommendations

• Capacity to maintain organization, accuracy, confidentiality, productivity, and efficiency

• Adherence to HIPAA regulations and organizational health and safety policies

🏝️ Benefits

• Full-time employment

• Opportunities for personal development training

• Cross-training options available

• Remote work arrangement