Quality Measures Specialist – Medical Billing

completehealthcareerexternal; Pell City (AL); On-site; USD 23,000 - 34,000; Full time

Job summary

Complete Health Career External is seeking a Quality Specialist to ensure Quality Measures are reviewed and billed accurately in an in-office Alabama clinic. The role involves identifying gaps, reviewing patient charts for Quality Measures, and ensuring proper CPT II and ICD-10 coding on claims.

You will also perform in-house testing (HbA1c, urinalysis, DM retinopathy) and reach out to patients with open measures, coordinating with facilities for results.

Qualifications

• Minimum 2 years in healthcare as Medical Assistant or similar
• High School Diploma or equivalent is required
• Associate degree in medical billing/medical records preferred
• Athena EHR experience preferred

Responsibilities

• Communicate open Quality Measures with providers and staff
• Pull open gap reports to identify open Quality Measures
• Ensure CPT II and ICD-10 codes go out on claims
• Perform in-house testing such as Hemoglobin A1c, urinalysis and DM Retinopathy Screenings
• Reach out to patients with open Quality Measures
• Coordinate with facilities for Quality Measure results

Skills

Medical billing

Medical records

CPT coding

Athena EHR

Front office

Microsoft Office

Multitasking

Communication skills

Education

High school diploma

Associate degree in medical billing/medical records preferred

Tools

Microsoft Office

Job description

Complete Health Career External is seeking a Quality Specialist to ensure Quality Measures are reviewed and billed accurately in an in-office Alabama clinic. The role involves identifying gaps, reviewing patient charts for Quality Measures, and ensuring proper CPT II and ICD-10 coding on claims.

You will also perform in-house testing (HbA1c, urinalysis, DM retinopathy) and reach out to patients with open measures, coordinating with facilities for results.