Outpatient - Lead Coding Quality Analyst

Acuity Search Solutions; Raleigh (NC); Remote; USD 60,000 - 100,000; Full time

Job summary

An established industry player is seeking a Lead Coding Quality Analyst to join their fully remote team. This role is vital in ensuring the highest standards of coding quality in a top-ranked teaching hospital. You will be responsible for auditing, training, and enhancing the skills of coding teams while collaborating with healthcare professionals to achieve documentation excellence. If you are an experienced coding professional eager to make a significant impact in a supportive and dynamic environment, this opportunity is perfect for you. Join a forward-thinking organization that values education and continuous improvement in clinical coding practices.

Benefits

Regular education opportunities

Free CEUs

Paid dues for one credential

Incredible team environment

Qualifications

• Experienced coding professionals with advanced clinical coding skills are preferred.
• Proficiency in coding standards and tools is essential.

Responsibilities

• Train and orient new team members in coding practices and tools.
• Review clinical documentation and apply appropriate coding for reimbursement.
• Coordinate information flow between coding and other departments.

Skills

ICD-9-CM/ICD-10-CM/PCS1 coding

CPT 4 coding

Microsoft Office Applications

Clinical documentation review

Training and education

Education

Certification in Medical Coding

Bachelor's degree in Health Information Management

Tools

Facility encoder

HBOC

EMR systems

Job description

Immediate need for Lead Coding Quality Analyst - Outpatient!!!

FULLY REMOTE

I have a Coding Quality Validation Specialist Position with one of the top Hospitals in the Country! This is a large Teaching/Trauma 1 Hospital that is ranked in the top 25 Hospitals in the country! I'd love to help you further your career by joining a team like this.

Call David at 513-206-9881

and/or send resumes to: [e-mail]

Lead Clinical Coder/Auditor teammates are responsible for auditing and training the advanced inpatient coding teams. Through the audit process, the Leads identify opportunities for education for Physicians and/or Coders, create educational materials and share findings with physicians and physician leaders. Leads are also point on some very specific initiatives, e.g., 30-day mortality rates, applying LCD/NCD, medical necessity, collaborating with CDI, Nurse Navigators and Physicians to achieve whole record integrity/Documentation Excellence.

Being part of the coding team is accompanied by regular education, free CEUs, paid dues for one credential and an incredible team environment.

Only experienced coding professionals who are interested in being a Lead, and part of the new era advanced clinical coding/auditing should apply.


Essential Functions

• Trains and orients new team members according to specific guidelines while utilizing the facility encoder, HBOC and EMR.
• Demonstrates the technical competence to use the facility encoder as it interfaces with the hospital mainframe and/or EMR in an on-site or remote setting.
• Demonstrates proficiency with Microsoft Office Applications in using required computer systems with minimal assistance.
• Assists Coding leadership with continuing education for all coding personnel.
• Facilitates peer review and training for Coding personnel.
• Reviews clinical documentation and diagnostic results as appropriate to abstract data and apply appropriate ICD-9-CM/ICD-10-CM/PCS1 and CPT 4 codes for reimbursement, external reporting, research, regulatory compliance, medical necessity, CCI, NCCI and other regulatory edits. Code and abstract medical records of moderate to high complexity within the Primary Enterprise acute care facilities.
• Resolves error reports associated with billing process, identifies and reports error patterns, and, when necessary, assists in design and implementation of workflow changes to reduce billing errors.
• Assists with rebilling accounts when necessary.
• Coordinates flow of information between coding and other departments, which include Medical Records, Medical Audit, Patient Accounts, Performance Improvement, Corporate Compliance, RAC, DA2, Clinical Care Management and other coding reviews as requested.
• Reviews inpatient and/or outpatient medical records to identify the appropriate principal diagnosis and procedure codes, all other appropriate secondary diagnoses and procedure codes and POA indicator for all diagnosis codes.