Coding Quality Assurance Specialist

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🔥 5 hours ago

⛰️ Colorado – Remote

⛰️ Colorado – Remote

⏰ Full Time

🟢 Junior

🟡 Mid-level

🔧 QA Engineer (Quality Assurance)

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Dayforce

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

👥 HR Tech

☁️ SaaS

🏢 Enterprise

💰 $1G Post-IPO Debt - Dayforce on 2024-03

HR Tech • SaaS • Enterprise

Dayforce is a cloud-based human capital management (HCM) platform developed by Ceridian. It combines payroll, HR, workforce management (time and attendance, scheduling), benefits administration, and talent management into a single SaaS application intended for HR teams and enterprise customers. Dayforce is sold primarily as a B2B solution to organizations seeking integrated, cloud-hosted workforce and payroll software.

📋 Description

• Serve as a coding expert for assigned specialties. • Maintain records of all audits in database for reference and trending. • Provide auditing of new and existing coders in conjunction with the Coding Services (CS) Department standards. • Using audits, monitor the quality of coding staff work as directed by Coding Services Management and identify areas of education. • Work with leadership and Coding Education Specialist to prepare presentations in regard to education to the team for targeted specialty areas and coding groups, based on audit results and trends. • Assist with researching coder questions and provide effective and accurate guidance, and provide supporting documentation for audits. • Identify and research correct coding for new CPT codes, as well as present this information to the team. • Identify provider education opportunities and coordinate with ACE, when trends in audits are identified that impact compliance or are the result of provider behavior. • Perform edit analysis to identify educational opportunities and edit modification. • Participate in optimizing work flows to support process improvement and identify additional/ongoing training needs • Identify trends and work in tandem with management to enhance revenue cycle performance.

🎯 Requirements

• CPC or AHIMA coding certification required • CPMA a plus • 2-4 years of working in a dedicated auditing position • Strong knowledge of CPT and ICD 10 coding standards • Skilled in navigating EMR systems and other auditing software

🏖️ Benefits

• Generous leave • Health plans • Retirement contributions