Perform internal quality assessment reviews for Health Information Management Service Center (HSC) coders.
Lead and coordinate all functions of coding quality reviews (routine, pre-bill, policy-driven, and incentive plan-driven) for inpatient and outpatient coding across multiple HSCs.
Ensure coding staff adheres to national guidelines, HSC policies, and company coding policies.
Apply expert-level knowledge of medical coding practices and concepts.
Participate in special projects or reviews, maintaining accuracy and productivity standards (95% accuracy, 95% productivity).
Keep coding knowledge current by reviewing official data quality standards, guidelines, policies, and clinical resources.
Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's).
Active RHIA, RHIT, and/or (mandatory).
Extensive experience auditing MS-DRG inpatient coding:
3+ years of hands-on MS-DRG auditing in a hospital setting.
10+ years of total medical coding experience preferred.
Demonstrated expertise across all body systems (not limited to one specialty, such as Orthopedics).
Ability to pass a coding test: 20 multiple-choice/true-false and 5-7 behavioral questions (90 minutes).
Reside in an eligible state (not available for California, Alaska, New York, or Colorado candidates).
Medical, dental, and vision coverage 401(k) with company match Tuition reimbursement Free private furnished housing or tax-free subsidy Paid time off (PTO) Parental leave Flexible spending account (FSA) Health savings account (HSA) Life insurance Mental health care Adoption benefit Employee stock purchase program Associate discounts Tax-free tuition reimbursement of up to $5,250 per calendar year Student loan assistance of $150 per month for full-time employees and $75 per month for part-time employees Primary care physician office visits, Urgent care or walk-in clinic, Outpatient and inpatient hospital services, and Emergency services. Paid family leave, Identity theft protection, Dental HMO plans, and Sprint PCS employee discount.
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