Remote Outpatient QA Specialist

Summary

The job is for a Full-time Outpatient Quality Assurance Specialist at iMedX, working remotely. The candidate should have coding fluency in various outpatient service lines and relevant experience. The role involves quality assurance reviews, education of coding staff, and maintaining knowledge of current coding guidelines.

Requirements

• High school diploma or GED equivalent
• Completion of a formally recognized coding program
• Acceptable credentials include: Certified Coding Specialist (CCS), Registered Health Information Technician (RHIT), Registered Health Information Administrator (RHIA) or other AHIMA or AAPC CPC coding credential. Certain additional AAPC credentials may be desirable
• Preference given to those with a CPMA credential
• Minimum of five years’ experience with all aspects of outpatient coding, encompassing a working knowledge of the ICD and CPT coding guidelines and practices, technology and processes

Responsibilities

• Performs outpatient coding quality audits as directed by the Coding Manager
• Reviews coding for all accounts selected for outpatient quality review (SDS, OBS, ED, Ancillary, etc.)
• Alerts Coding Manager to trends and/or consistent issues identified in audit process
• Recognizes, interprets, and evaluates inconsistencies, discrepancies, and inaccuracies in coding, and takes measures to assure corrections are made as appropriate
• Serves as an outpatient coding subject matter expert (SME) to other team members and responds to questions in a timely fashion
• Develops tools which may increase coding quality within the team framework
• Conducts account reviews as requested by the client
• Maintains knowledge of current coding guidelines for audits as assigned
• Stays current on coding guidelines and trends and continually enhances coding and technology skills. Participates in webinars and educational conferences to ensure coding practice is up to date
• Maintains confidentiality and safeguards the privacy of protected health information (PHI)
• Promotes the Company’s values
• Performs other job-related duties as may be assigned or required

Preferred Qualifications

• Coding fluency in outpatient surgery, Observation, Emergency Department, Interventional Radiology and specialty clinic services
• PC proficiency in word processing, spreadsheet and database software
• Good communication skills with clients and manager exhibiting adaptability, excellent customer service, and professional written and verbal communications skills
• Maintains enthusiasm and a sense of urgency towards work
• Accepts responsibility and accountability willingly
• In all activities, uses analytical, judgment, and decision-making skills in meeting the objectives of the position with an excellent eye for detail
• Adaptability to shifting priorities and demonstrates willingness to put in extra hours as per client / team needs

Benefits

This is a remote, work from home, position