- Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs
- Assist in ensuring HSC coding staff adherence with coding guidelines and policy
- Demonstrate and apply expert level knowledge of medical coding practices and concepts
- Participate on special reviews or projects
- Maintain or exceed 95% productivity standards
- Maintain or exceed 95% accuracy
- Meet all educational requirements as stated in current Company policy
- Review all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current
- Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's)
- Equivalent work experience may substitute degree requirement
- Minimum of 3 years' acute care inpatient coding experience preferred
- Minimum of 3 years' coding auditing/monitoring experience strongly preferred
- RHIA, RHIT and/or CCS mandatory
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Coding Quality review Specialist - Nashville, United States - Patterns india
Description
Job Description
Job DescriptionCoding Quality review Specialist 100% Remote role
Full time work from home.
Job Summary
As a Coding Quality Review (CQR) Specialist, you will operate in a work from home environment supporting all CQR team related systems and tools. You will perform internal quality assessment reviews on Health Information Management Service Center(HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity.
Job Responsibilities
Qualifications
MUST HAVE INPATIENT ACUTE CARE EXPERIENCE
We cannot employee candidates who reside in California or Colorado for any of our work form home positions
Will be expected to complete a coding test (20 Multiple Choice/True/False 5-7 Open ended Behavioral questions- 90 minutes longText me at , Let me know if you are interested in any other positions/Location.My email ID is
Coding Quality review Specialist professionals in Nashville
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Lacey Houston
Senior Recruiter
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Brithany Gavidia
Grad Student
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William Harrison
Service Beyond Expectations