Jorie AI

End-to-End Revenue Cycle Management AI Automation

Medical Coding, Multi-Specialty QA Specialist

QA EngineerQA EngineerFull TimeRemoteTeam 1,001-5,000H1B No SponsorCompany SiteLinkedIn

Location

Illinois

Posted

39 days ago

Salary

$28 - $32 / hour

High School4 yrs expEnglish

Job Description

• Responsible for the quality assurance of our internal coding team and performs quality audits to ensure compliance with coding guidelines. • Leverages extensive knowledge of federal, state, and payer-specific regulations and policies to audit coded charts. • Provide coding, financial and/or operational reports, and provide feedback to improve documentation to maximize revenue and reduce denials. • Performs audits of the coding team, providing feedback and education based on results. • Develops overall educational materials based on common trends identified during the audit process. • Conducts internal coding audits and analysis of issues holding up accounts and follows guidelines. • Identifies areas of utilization improvements and monitors expected outcomes. • Identifies recurring problems and procedural deficiencies and provides solutions to eliminate them. • Research and update new and/or revised coding and compliance standards. • Performs other related duties as required or requested.

Job Requirements

  • High school diploma or equivalency
  • AAPC Certified Professional Coder (CPC) certification is required
  • Other relevant certifications (CPMA, CEMC) are a plus
  • A minimum of 4 years of experience in a multi-specialty physician practice or clinic, coding multiple medical/surgical specialties/subspecialties
  • A minimum of 3 years of prior experience translating coding error trending and quality assurance and translating these results into process improvements with minimum supervision required
  • Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies
  • Proficiency in using medical billing software and EHR systems
  • Attention to detail with the ability to identify/resolve problems and document the outcome
  • Ability to collaborate effectively in a team setting to maximize quality and efficiency of operations

Benefits

  • 401(k) matching up to 4%
  • Medical
  • Dental
  • Vision
  • Long/Short Term Disability insurance
  • Life insurance $25,000 Paid by employer
  • PTO 2 weeks
  • 10 and half Holidays

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