Coding Quality Coordinator

Emploi pas sur LinkedIn

🕒 il y a 10 jours

🇺🇸 États-Unis – Télétravail

⏰ Temps Plein

🟡 Intermédiaire

🟠 Senior

👻 Score fantôme 10%

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🗣️🇺🇸🇬🇧 Anglais requis

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Logo of Solaris Health

Solaris Health

1001 - 5000 employés

Fondée en 2020

⚕️ Assurance santé

🏥 Santé

🧬 Biotechnologie

Healthcare Insurance • Healthcare • Biotechnology

Solaris Health est une plateforme nationale de santé de premier plan, engagée à améliorer l'accès aux soins de santé spécialisés et à améliorer continuellement les résultats pour les patients. Avec plus d'un million de patients uniques par an et plus de 730 prestataires à travers le pays, Solaris Health exploite plus de 236 bureaux de patients dans 14 états, se concentrant sur la fourniture innovante de soins de haute qualité axés sur la valeur.

Description

• Write Aptarro RCX rules based on NCDs, LCDs, Carrier Policies, and CCI edits • Ensure medically necessary ICD-10 codes and appropriate modifiers are appended before submission • Deliver comprehensive coding education and training programs • Instruct healthcare providers on proper documentation practices • Provide guidance, mentorship, and support on complex coding questions • Monitor training effectiveness through assessments and feedback • Educate physicians, APPs, and support staff and provide feedback • Maintain quality and productivity standards and monitor compliance • Identify process trends and recommend efficiency improvements • Maintain current knowledge of coding guidelines and state and federal regulations • Ensure adherence to coding, documentation, compliance, and reimbursement regulations • Coordinate training for new RCM Charge Capture hires • Coordinate continuing training for Charge Capture team members • Collaborate with Coding and Revenue Integrity peers and functional areas • Participate in special projects and perform other assigned duties • Maintain patient confidentiality and report suspected compliance concerns

🎯 Exigences

• CPC, CCS-P, CMRS, or AAPC certification required • High School Diploma or equivalent required • At least 3 years’ experience required • Entry level Medical Billing and Coding Terminology preferred • Experience in Urology or physician practice environment preferred • Knowledge of medical terminology, CPT, ICD coding, and the revenue cycle process • Knowledge of EHR software systems and Microsoft Office products • Ability to develop reports and create presentations • Strong verbal and written communication skills • Ability to work collaboratively across disciplines and business lines • Ability to handle multiple tasks and solve problems • Strong analytical skills with ability to make conclusions and recommendations • Ability to maintain organization, accuracy, confidentiality, productivity, and efficiency • Compliance with HIPAA regulations and organizational health and safety policies

🏖️ Avantages

• Full-time employment • Personal development training • Cross training • Remote work arrangement

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