Remote CDQA Administrative Analyst - Coding & Compliance

Presbyterian Healthcare Services; Santa Fe (NM); Remote; USD 27,000 - 44,000; Full time

Job summary

Presbyterian Healthcare Services is seeking a CDQA Administrative Analyst to work remotely from Santa Fe, NM. Under supervision, you will support enterprise-wide coding policies, monitor compliance with coding rules, coordinate audits, track results, and support training for coding, audit, physician and clinician personnel.

You will assist in audit research, respond to inquiries, maintain documentation, and analyze data from audits to inform management.

Qualifications

• High school diploma or GED required.
• One year healthcare clinical, coding, auditing, compliance or patient financial services related experience.
• Excellent written and verbal communication skills.
• Detail and results oriented.
• Ability to work independently.
• Medical terminology, ICD-9/10, CPT-4 and HCPCS knowledge required.

Responsibilities

• Liaison with management and departments addressing coding and auditing issues.
• Maintain accurate, complete, timely documentation.
• Maintain up-to-date regulatory knowledge on ICD-9/10, CPT-4, HCPCS.
• Research coding, billing compliance issues and implement corrective actions.
• Respond to inquiries daily regarding coding and auditing.
• Analyze data from audits and report to management.

Skills

Excellent written and verbal comms

Detail oriented

Ability to work independently

Education

High school diploma or GED

Job description

Presbyterian Healthcare Services is seeking a CDQA Administrative Analyst to work remotely from Santa Fe, NM. Under supervision, you will support enterprise-wide coding policies, monitor compliance with coding rules, coordinate audits, track results, and support training for coding, audit, physician and clinician personnel.

You will assist in audit research, respond to inquiries, maintain documentation, and analyze data from audits to inform management.