Coding Quality Coordinator

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Solaris Health

1001 - 5000 employees

Founded 2020

⚕️ Healthcare Insurance

🏥 Healthcare

🧬 Biotechnology

Healthcare Insurance • Healthcare • Biotechnology

Solaris Health is a leading national healthcare platform committed to enhancing access to specialty healthcare and continually improving patient outcomes. With over 1 million unique patients annually and 730+ providers across the country, Solaris Health operates 236+ patient offices in 14 states, focusing on innovative delivery of high-quality, value-driven care.

📋 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

🎯 Requirements

• 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

🏖️ Benefits

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

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