Anesthesia Coding QA Specialist III

🕒 Junho 3

🐻 Alaska, California, +1 estados a mais – Remoto

🐻 Alaska – Remote 🏄 California – Remote 🌺 Hawaii – Remote

💵 $60.800 - $103.400 / ano

⏰ Tempo Integral

🟡 Pleno

🟠 Sênior

🔧 Engenheiro de QA (Qualidade de Software)

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US Anesthesia Partners

SiteLinkedInTodas as Vagas

5001 - 10000 funcionários

Fundada em 2012

⚕️ Seguro de Saúde

💊 Farmacêutico

🔬 Ciência

Healthcare Insurance • Pharmaceuticals • Science

US Anesthesia Partners é um provedor líder em serviços completos de anestesia, dedicado a oferecer cuidado excepcional ao paciente e excelência operacional. Fundada por uma equipe de anestesiologistas inovadores, a USAP se especializa em várias áreas da anestesiologia, incluindo cuidados cardiovasculares, obstetrícia e pediatria. Com uma rede de milhares de clínicos e centenas de parceiros de instalações em todo o país, eles atendem mais de dois milhões de pacientes anualmente, com o objetivo de redefinir os padrões de qualidade nos serviços de anestesia.

Descrição

• Conducts coder QA and education as part of identified remediation. • Collaborates with management on development of individual or group performance improvement plans related to billing compliance or coding issues. • Develops or reviews internal workflow or pathway directives that impact coding and charge capture to include system edits. • Conducts coder pre-production QA and education. • Prepares coder content and curriculums and presents coding curriculums. • Reviews and prepares documentation for educator feedback sessions. • Provides recommended improvements to documentation templates. • Prepares and presents coding and regulatory updates. • Maintains operational workflow pathways and assists coding leads as needed. • Maintains the coding resources shared library. • Utilizes knowledge of the revenue cycle and analyzes coding data to assist with the QA selection process. • Assists in reviews of coding related edits and claim denials. • Creates tracking and trend reports associated with the initiatives. • Maintains audit software and database updates.

🎯 Requisitos

• High school diploma or equivalent. • Relevant post-secondary education or equivalent hands-on experience in lieu of a degree. • National certification and minimum of 5 years’ experience in physician coding, anesthesia/pain management, surgery and E/M, and ICD-10, with experience in academic settings. • National coding certification (AHIMA, AAPC). • Clinical certification or experience preferred. • Compliance auditing and anesthesia specialty coding education experience. • Experience in revenue cycle and claim processing. • Experience in physician billing compliance preferred. • Strong presentation and analytical skills. • Proficient in Excel, Word, and PowerPoint preferred. • Experience managing multiple clients or projects simultaneously with a high level of attention to detail. • Assists in supporting teams with analysis and review of documentation for new business. • Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, and vendors. • Ensures compliance with all state, federal, and professional regulations as well as departmental rules, policies, and procedures. • Adherence to safety and HIPAA. • Maintains specialty certification CEUs, coding updates, and all regulatory or payer guidance. • Ability to communicate professionally with all levels of management. • Excellent written and oral communication skills are necessary to produce and deliver quality training. • Excellent technical writing skills for development, implementation, and maintenance of documentation. • Travel may be required.

🏖️ Benefícios

• This position is eligible for an annual bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.