Anesthesia Coding QA Specialist III

🔥 8 minutes ago

🤠 Texas – Remote

🤠 Texas – Remote

💵 $60.8k - $103.4k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🔧 QA Engineer (Quality Assurance)

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US Anesthesia Partners

WebsiteLinkedInAll Job Openings

5001 - 10000 employees

Founded 2012

⚕️ Healthcare Insurance

💊 Pharmaceuticals

🔬 Science

Healthcare Insurance • Pharmaceuticals • Science

US Anesthesia Partners is a leading provider of comprehensive anesthesia services, dedicated to delivering exceptional patient care and operational excellence. Founded by a team of forward-thinking anesthesiologists, USAP specializes in various anesthesiology areas including cardiovascular care, obstetrics, and pediatrics. With a network of thousands of clinicians and hundreds of facility partners across the nation, they serve over two million patients annually, aiming to redefine the standards of quality in anesthesia services.

📋 Description

• Supports our coding QA process and coder and provider documentation integrity and education. • Provides clinical documentation review to support correct coding and regulatory compliance. • Responsible for reviewing professional coding accuracy and quality and educational feedback to coders and providers. • 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.

🎯 Requirements

• 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. • Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, and vendors. • 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.

🏖️ Benefits

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