DRG Coding Auditor

Generis Tek Inc; United States; Remote; USD 86,000 - 101,000; Full time

Job summary

Join a leading company as a Coding Quality Reviewer Specialist. This remote position entails conducting quality reviews of coders to ensure compliance and accuracy in coding, supporting the integrity of health information management. Candidates must have significant coding experience and relevant qualifications in Health Information Management.

Benefits

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

Tuition assistance

Disability insurance

Qualifications

• Experience in all body systems needed, not limited to one specialty.
• Minimum 3 years of hands-on MS-DRG auditing experience needed.
• Candidates should ideally have 10+ years of coding experience.

Responsibilities

• Lead and perform quality reviews for coding across multiple HSCs.
• Ensure adherence to coding guidelines and policies.
• Maintain productivity and accuracy standards.

Skills

Medical coding practices

Quality assessment

Compliance knowledge

Education

Undergraduate degree in HIM/HIT

RHIA or RHIT certification

Job description

Direct message the job poster from Generis Tek Inc

Building Teams that shape Generis Tek's future

Please contact our Talent Acquisition Specialist - Himanshi Pandit at email address [e-mail] or # 630-576-1935 to discuss this opportunity.

Job Title: Coding Quality Reviewer Specialist

Location : Remote

Duration : Permanent Full time

Compensation: Salary range from -$42.28 mid point based on years of experience

Job Summary

• As a Coding Quality Review (CQR) Specialist, you will operate in a work from home environment supporting all CQR team related systems and tools. You will perform internal quality assessment reviews on Health Information Management Service Center(HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity.

Job Responsibilities

• Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs
• Assist in ensuring HSC coding staff adherence with coding guidelines and policy
• Demonstrate and apply expert level knowledge of medical coding practices and concepts
• Participate on special reviews or projects
• Maintain or exceed 95% productivity standards
• Maintain or exceed 95% accuracy
• Meet all educational requirements as stated in current Company policy
• Review all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

Qualifications

• Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's)
• RHIA, RHIT and/or mandatory
• Must have experience in all body systems – cannot be specialized in one area i.e., Orthopedic etc.
• Must have 3 years of hands on coding MS-DRG auditing in a hospital setting.
• Cannot be a recent graduate needs experience ideally 10+ years of coding and 3 years of auditing in MS-DRG Inpatient medical records.
• We cannot employee candidates who reside in California, Alaska, New York or Colorado for any of our work form home positions
• Will be expected to complete a coding test (20 Multiple Choice/True/False 5-7 Open ended Behavioral questions- 90 minutes long

Please contact our Talent Acquisition Specialist - Himanshi Pandit at email address [e-mail] or # 630-576-1935 to dicsuss this opportunity.

Seniority level

• Seniority level

  Mid-Senior level

Employment type

• Employment type

  Full-time

Job function

• Job function

  Health Care Provider

• Industries

  Hospitals and Health Care

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Inferred from the description for this job

Medical insurance

Vision insurance

401(k)

Paid maternity leave

Paid paternity leave

Tuition assistance

Disability insurance

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