Medical Coding QA Specialist - Profee

Published

Medical Coding QA SpecialistAre you interested in joining one of the nation's leading providers of medical coding services that is experiencing impressive year-over-year growth? Aviacode is nationally recognized as one of the top medical coding companies in KLAS and Black Book Market Research surveys. Here is your opportunity to be part of this exciting team. We are hiring now and have an immediate need for a Medical Coding QA Specialist– ProFee. This position will be responsible for conducting internal coding audits and providing feedback. This is a per diem remote position working a minimum of _5__ hours per week.

ResponsibilitiesThis client is a Wound Care facility that is utilizing Mid Level providers only for work in nursing facilities. Experience with Consolidated Billing is helpful. This position will evaluate coder CPT, Modifier and ICD 10 coding for accuracy while maintaining their own accuracy of 95% or higher and a production of eight (8) encounters an hour. This position will also serve as a back up coder for the practice if one of our coders is out; that may generate extra hours during the week so we ask for a little flexibility in schedule. Below are other attributes for the applicants
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  • Leverage extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and billing to audit client charts and billing
  • Analyze and identify opportunities for documentation improvement and prepare reports, presentations and recommendations based on the analysis
  • Communicate with internal coding staff findings and provide recommendations on actions to be taken for improvement

Qualifications

  • Coding certifications (AAPC or AHIMA), (CPC, CCS-P, RHIA, RHIT) required, AAPC CANPC preferred
  • Minimum 2-3 years procedure coding; QA or audit experience preferred
  • Strong knowledge of coding disciplines
  • Extensive knowledge of medical terminology, medical billing and payment methodologies, including coding guidelines for ICD-10, CPT, HCPC, E/M, etc.
  • Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations. Able to yield high quality coding quality audits via a manual coding audit process or technology enhanced audit tool
  • Knowledge of quality metrics and commitment to enforcement of standards
  • Cross functional expertise with the ability to work independently in a fast-paced environment
  • Excellent verbal, written, and interpersonal communication skills
  • Strong computer skills including MS Office (e.g., Excel and Word)
  • Ability to multi-task and set/meet multiple deadlines under pressure with initiative, tact, and poise

This is a work-from-home position. Must have high speed Internet