Quality Analyst/Auditor/Tl-E&M Op

Experience: 4+ years with relevant experience in Outpatient Evaluation/Management and Trauma Care.

Job Responsibilities:

1. Abstract coding specialist with 99-100% accuracy, using a variety of coding conventions, and coding guidelines (eg: ICD-10-CM, CPT, and Modifiers)
2. Auditing charts of Coders and make them error free.
3. To guide and educate respective coders and make them more productive and efficient.
4. Responsible for ongoing quality, productivity, and efficiency through processes specific to orientation, analysis, and timely completion of medical records.
5. Participates in coding quality audits.
6. Performs any other task and duties appropriate to his/her realm of knowledge, skills and experience as required by the employer.
7. Stays current, reads, and adheres to hospital and departmental policies and procedures related to the area.
8. Maintain confidentiality of all patient information according to departmental policies and procedures.

1. Ability to code E/M and Trauma care cases including some minor procedures.
2. Should have strong knowledge of Acute Care, E/M guidelines, outpatient surgical procedures.
3. Should have at least one coding certification from AAPC or AHIMA.
4. Should be well versed with Medicare and Medicaid policies and guidelines, like LCDs.
5. Should be well versed with ICD-10-CM coding conventions and guidelines.
6. Should have capability of interpreting CDR, AMA articles, and other coding assistant articles thereby correlating the codes with ease and concentration in decision-making process.
7. Must have excellent communication skills (reading, writing, and verbal) and client service skills.
8. Ability to cope well under pressure in a busy environment and meet required deadlines.
9. Ability to work independently with minimum direct supervision.
10. Strong in MS-Office.