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Form of workJob Description
This is a 3-month contract to permanent with payrate of up to $28/hr.
What is the specific title of the position? Coding Qlty Anlyst
Work location? FL478 - Tampa Corporate Office (5130 Sunforest Dr)
Work hours - 7:00am - 3:30 pm or 7:30 am- 4:00 pm. Monday-Friday.
Hybrid schedule.
What does this position accomplish for the business? Position provides support to the Revenue Operation Dept.
What are the top 5-10 responsibilities for this position
- Conducts physician chart audits to identify incorrect coding, prepares reports of findings and any compliance issues.
- Reports coding patterns identified within the audit process to the Manager, and identifies corrective measures to compliance problems.
- Responsible for maintaining current knowledge of coding guidelines and relevant federal regulations through the use of current CPT-4, HCPCS II, and ICD-10 materials, the Federal Register, and other pertinent materials.
- Interacts with physicians and center administrators regarding billing and documentation policies, procedures, and conflicting/ambiguous or non-specific documentation.
- Provides second-level review of billing performances to ensure compliance with legal and procedural policies to ensure adherence to regulations prohibiting unbundling and other questionable practices.
- Enhances professional growth and development through in-service meetings, educational programs, conferences, etc.
- Review coding issues and process corrections as needed.
What does the ideal candidate background look like (ex: healthcare specific background specific industry experience etc.)?
- Experience with Risk and Fee For Service Coding, preferred.
- Experience with Claims Coding and Revenue Cycle
- Knowledge of Risk Adjustment and Hierarchical Condition Categories (HCC) and Medicare Advantage reimbursement a plus.
- Must have an excellent understanding of medical terminology, disease process and anatomy and physiology.
- Must have an excellent understanding of ICD-10-CM coding classification.
- Must have an excellent understanding of CPT coding within a Primary Care environment.
What skills/attributes are required (please be detailed as to number of years of experience for each skill)?
- 2-3 years of coding experience in a Primary Care environment.
Does this position require a professional license or certification? Yes. Coding certification- CPC or CCA certification
NO CPC-A licenses
What is the dress code (ex: business casual scrubs etc.)? Business Casual
How would you prefer to interview? In person
How many rounds? Possibly two
Healthcare Support Staffing, Inc. is an equal employment opportunity employer and will consider all qualified applicants without regard to race, color, religion, disability, sex, sexual orientation, gender identity, national origin, protected veteran status, or any other characteristic protected by applicable local, state, or federal law.
