Coding Quality Review Specialist

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 the comoany 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)

Equivalent work experience may substitute degree requirement

Minimum of 3 years' acute care inpatient coding experience preferred

Minimum of 3 years' coding auditing/monitoring experience strongly preferred

RHIA, RHIT and/or CCS mandatory

MUST HAVE INPATIENT ACUTE CARE EXPERIENCE

We cannot employee candidates who reside in California 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

Additional information

FTEs-4

Compensation: Salary range from -$42.28 mid point (10 years of exp) based on years of experience