Coding Quality Manager

🕒 Outubro 30

🇺🇸 Estados Unidos – Remoto (EUA)

⏰ Tempo Integral

🟠 Sênior

🔴 Especialista

👔 Gerente

🦅 Patrocina Visto H1B

Esta empresa já patrocinou vistos H1B no passado.

👻 Score fantasma 11%

O que significa: a chance de ninguém estar realmente contratando para esta vaga.Como ler: 60% ou mais significa que achamos que é uma vaga fantasma. Pontuações mais baixas preocupam menos.Por que essa pontuação:

• Aberta há 12 dias.
• As vagas desta empresa costumam ser preenchidas em 38 dias.
• Sem salário divulgado.

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nimble solutions

SiteLinkedInTodas as Vagas

1001 - 5000 funcionários

💼 Consultoria

📦 Logística

🛡️ Seguros

Consulting • Logistics • Insurance

nimble solutions é uma empresa focada em soluções online inovadoras, oferecendo serviços relacionados a processamento de pagamentos, gestão de contas e faturamento. A empresa utiliza tecnologias baseadas na web para fornecer plataformas eficientes e fáceis de usar para gerenciar transações financeiras e contas. O objetivo da empresa é simplificar processos complexos de cobrança e pagamento para empresas.

Descrição

• Perform prospective and retrospective audits of outpatient and professional surgical coding, including CPT, ICD-10-CM, modifier assignment, Official Coding Guidelines, NCCI/OCE edits, and payer policies • Support and maintain the coding quality assurance program, including audit methodologies, scoring, documentation standards, and quality tracking processes • Analyze audit results and quality trends to identify risk areas, educational needs, and process improvement opportunities • Develop and deliver targeted coder- and provider-facing education, including remediation, training sessions, and client-specific education • Prepare client-facing audit summaries and reports communicating quality scores, trends, and recommended actions • Collaborate with Coding Operations and cross-functional teams to optimize workflows, standardize best practices, and achieve quality and service-level expectations • Provide expert-level support for complex coding questions across Ambulatory Surgery Centers and Professional Fee services • Participate in quality and compliance initiatives, including follow-up audits, corrective-action monitoring, and validation of improvement outcomes • Contribute to special projects involving audits, quality improvement, workflow enhancements, client onboarding, and ongoing client support

🎯 Requisitos

• 8–10+ years of coding experience, including outpatient and/or professional surgical coding • 5+ years of coding quality auditing and/or coding education experience • Advanced knowledge of CPT, ICD-10-CM, modifier usage, Medicare regulations, OPPS, and payer policies • Experience with surgical specialties such as orthopedics, spine, pain management, ophthalmology, and general surgery • Strong written and verbal communication skills, including client-facing education and presentation capabilities • Excellent analytical skills with the ability to interpret audit data and translate findings into actionable education • Highly organized with the ability to manage multiple priorities and meet deadlines in a fast-paced, remote environment • Self-directed, solution-oriented mindset with strong critical thinking and problem-solving abilities • Proficiency in Microsoft Excel, Word, PowerPoint, and SharePoint

🏖️ Benefícios

• Opportunity to join a well-established and market-leading brand serving a high-growth end market • Valuable experience working closely with Executive leadership • Positive culture-building environment • Fully remote work arrangement

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