Facility Coding Quality Specialist

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

📋 Description

• Conducts in-depth retrospective evaluations of medical record documentation to pinpoint coding and billing inaccuracies and discrepancies in accordance with established guidelines.

• Examines audit results to uncover possible root causes of coding mistakes and implement measures to avert future occurrences.

• Performs secondary reviews of diagnosis, procedure, and billing codes to guarantee adherence to legal and procedural regulations.

• Investigates, analyzes, and addresses inquiries related to compliance, improper coding, denials, and billable services.

• Offers technical assistance and training feedback to internal coding personnel.

• Safeguards the privacy and confidentiality of patient health information and client data.

• Adheres to the Standards of Ethical Coding as outlined by AHIMA.

• Recommends query opportunities to Physicians based on documentation and clinical requirements.

• Prepares necessary deliverables for coders as needed.

• Accurately and promptly reports work hours and production metrics.

• Engages with colleagues in a respectful and open manner that fosters teamwork and knowledge sharing.

• Provides a schedule of planned work activities, events, and locations.

⛳️ Requirements

• Regular, predictable, and punctual attendance is essential.

• Strong verbal and written communication abilities are necessary.

• Capability to prioritize tasks, meet deadlines, and uphold a high standard of quality and accuracy.

• Valid coding credential from AHIMA or AAPC is required; RHIA or RHIT may also be considered.

• Preferred experience with telecommuting and electronic medical records systems.

• Strong analytical skills are essential.

• Exceptional written communication capabilities are required.

• Must be a strong team player.

• Ability to engage with a variety of diverse clients and projects.

• Capable of working with minimal supervision.

• At least 2 years (preferably 3 years) of experience in coding and/or auditing in both inpatient and outpatient settings.

• Demonstrates initiative, resourcefulness, and attention to detail.

• Minimum of one (1) year experience in customer service support.

• Familiarity with hospital outpatient billing processes is beneficial.

• Understanding of hospital APC assignment along with relevant coding and documentation.

• Strong communication skills and proficiency in Microsoft Office applications including Word and Excel.

• Ability to navigate various EMR systems and review handwritten charts effectively.

🏝️ Benefits

• Opportunities for professional development.

• Competitive salary.