Senior Autonomous Coding Quality Analyst

Job not on LinkedIn

3 hours ago

Apply Now
Logo of US Acute Care Solutions

US Acute Care Solutions

Healthcare • Pharmaceuticals • Telecommunications

US Acute Care Solutions is a physician-owned company specializing in the management and provision of acute care services across the United States. With a focus on emergency medicine, hospital medicine, and critical care, USACS partners with health systems to enhance patient care and improve the healthcare continuum. Annually, the company serves over 10 million patients and operates more than 500 clinical programs in 30 states, driven by a commitment to innovation, quality, and collaborative healthcare delivery.

1001 - 5000 employees

Founded 2015

💊 Pharmaceuticals

📡 Telecommunications

💰 Private Equity Round on 2021-02

📋 Description

• The Senior Autonomous Coding Quality Analyst (SACQA) validates various outputs from artificial intelligence (AI) code sets. • Ability to pay close attention to detail. • Responsible for complaint AI build and validation of the AI outputs including MDM scoring, primary and secondary diagnosis codes, CPT codes, MOD, etc. • Perform quality assurance reviews on un-codable cases flagged by AI for human review to understand the reasons and produce mitigation plans. • Track key metrics such as accuracy rates, audit findings, and areas requiring manual review to identify trends and opportunities for improvement.

🎯 Requirements

• High school diploma or equivalent, associate degree or higher preferred. • Coding certification as required by the USACS compliance plan. • CCS, RHIT or CPC Plus CPMA (Auditing Certification) • At least five years of ED professional coding experience, with demonstrated CAC and/or Autonomous Coding knowledge best practices. • Must be currently meeting all quality standards.

🏖️ Benefits

• best in class benefit programs with a wide array of options.

Apply Now

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