Job Opportunities
Inpatient Coding QC Analyst
Inpatient Coding QC Analyst Responsibilities and Metrics
Are you looking for your next challenge? The Virtual Business Office Associates is the perfect balance of a diverse and growing workforce that still feels like home. If you are a Coding Professional with extensive inpatient experience, come join our best in KLAS Extended Business Office today!
Hiring remotely from: FL, GA, TX, NC, SC, VA, KY, AL.
FLSA Status: Exempt
What’s in it for you:
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Add to your portfolio by joining our fast-paced, exciting, diverse and inclusive work environment
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Endless growth opportunities and continuous professional development
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You’ll support one of the largest professional services firms in the world, with access to cutting edge automation and AI technologies to enhance your workday experience
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A permanent position with our company that offers stability and growth opportunities
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A flexible schedule that allows you to enjoy a work life balance, and leave early on Friday’s
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Comprehensive employee benefits
What you’ll do:
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Oversees daily coding quality control review team and coding trainer to ensure quality remains at or above 95% accuracy for the coding team both onshore and offshore.
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Directs and coordinates all training activities of quality control analyst and coding trainer engaged in reviews of coding activities
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Performs data quality reviews on inpatient/outpatient encounters to validate the ICD-10-CM, ICD-10- PCS, CPT, and HCPCS Level II code and modifier assignments, DRG/APC group appropriateness.
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Oversee monthly quality reviews of implemented policies Ensures that all turnaround times and quality measurements are met
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Keeps abreast of coding guidelines and reimbursement reporting requirements.
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Documents findings of analysis. Prepares reports and suggest recommendations of implementation of new systems, procedures, or organizational changes.
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Identifies areas of weakness and communicates recommendations on changes and improvement to Assistant Director, Manager and Team Leads and Coding teams.
What you’ll need:
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Current AHIMA credentials (i.e. CCS, CCS-P) or AAPC credentials (i.e. COC, CIC, CPC, CPC-H) required and maintained
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10+ years of medical coding experience (facility and/or consulting) to include both inpatient and outpatient and quality control reviews in an acute care setting
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3+ years of experience in Medical Collections, back-end A/R, and claim review in which denial follow up was worked
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Demonstrate advanced to expert level coding competency in ICD-10-CM, ICD-10-PCS, CPT-4, HCPCS and Coding Modifiers and displays advanced competency of Inpatient/Outpatient coding guidelines and Diagnosis Related Group (DRG)/Ambulatory Payment Category (APC) assignment
Recruiting Solutions provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, national origin, age, disability or genetics. In addition to federal law requirements, Recruiting Solutions complies with applicable state and local laws governing nondiscrimination in employment in every location in which the company has facilities.
Recruiting Solutions expressly prohibits any form of workplace harassment based on race, color, religion, gender, sexual orientation, gender identity or expression, national origin, age, genetic information, disability, or veteran status.