Coding Quality Review Specialist- Remote
Coding Quality Review Specialist- Remote
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$ $ 42 - 42
1 Vacancy
Job Description
Perform internal quality assessment reviews for Health Information Management Service Center (HSC) coders.
Lead and coordinate all functions of coding quality reviews (routine prebill policydriven and incentive plandriven) for inpatient and outpatient coding across multiple HSCs.
Ensure coding staff adheres to national guidelines HSC policies and company coding policies.
Apply expertlevel knowledge of medical coding practices and concepts.
Participate in special projects or reviews maintaining accuracy and productivity standards (95% accuracy 95% productivity).
Keep coding knowledge current by reviewing official data quality standards guidelines policies and clinical resources.
Requirements
Undergraduate degree in HIM/HIT preferred (Associates or Bachelors).
Active RHIA RHIT and/or (mandatory).
Extensive experience auditing MSDRG inpatient coding:
3 years of handson MSDRG auditing in a hospital setting.
10 years of total medical coding experience preferred.
Demonstrated expertise across all body systems (not limited to one specialty such as Orthopedics).
Ability to pass a coding test: 20 multiplechoice/truefalse and 57 behavioral questions (90 minutes).
Reside in an eligible state (not available for California Alaska New York or Colorado candidates).
Benefits
Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's). Active RHIA, RHIT, and/or (mandatory). Extensive experience auditing MS-DRG inpatient coding: 3+ years of hands-on MS-DRG auditing in a hospital setting. 10+ years of total medical coding experience preferred. Demonstrated expertise across all body systems (not limited to one specialty, such as Orthopedics). Ability to pass a coding test: 20 multiple-choice/true-false and 5-7 behavioral questions (90 minutes). Reside in an eligible state (not available for California, Alaska, New York, or Colorado candidates).
Employment Type
Full Time
