Medical Coding Quality Analyst

March 19

⛰️ Colorado – Remote

Although this job is listed in Colorado, this company may be open to hiring remote in other states.

💵 $58k / year

⏰ Full Time

🟡 Mid-level

🟠 Senior

🧐 Analyst

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Frye Regional Medical Center

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Frye Regional Medical Center is a healthcare facility located in Hickory, North Carolina, dedicated to serving the medical needs of the Catawba Valley region since 1911. As part of Duke LifePoint Healthcare, this 355-bed acute care hospital offers a wide range of services, including specialized care in areas such as cardiology, cancer treatment, orthopedic care, and emergency services. Frye Regional is committed to providing high quality, compassionate care with a focus on patient experience and clinical outcomes, and has been recognized as a High Performing hospital for heart attack and heart failure treatment.

Cardiovascular Health • Rehabilitative Care • Oncology • Intensive Care • Behavioral Health

1001 - 5000 employees

Founded 1911

⚕️ Healthcare Insurance

🧘 Wellness

📋 Description

• The Quality Analyst will spend the majority of the time auditing coders, educating coders, and working on various projects that involve coding and education including RAC audits. • Perform Evaluation and Management coding, procedure, ICD-10, and HCPC quality reviews as well as other projects related to physician coding compliance. • Demonstrates a thorough understanding of complex coding and reimbursement as they relate to physician practices and clinic settings. • Keeps informed regarding current coding regulations, professional standards, and company/department policies and procedures and effectively applies this knowledge. • Apply appropriate coding classification standards and guidelines to medical record documentation for accurate coding. • Perform quality assessment of records, including verification of medical record documentation (both electronic and handwritten). • Perform quality assessments of coders completed work to validate standards are met. • Educate coders and other staff on appropriate coding guidelines. • Responsible for researching errors or missing documentation from medical records in order to provide accurate coding processes. • Abstract and assign the appropriate ICD-10, HCPCS/CPT codes; including Level I & Level II modifiers as appropriate for all diagnosis and procedures performed in outpatient and inpatient settings. • Assist in the development and ongoing maintenance of processes and procedures for each assigned client revolving around system use, billing/coding rules, and client specific guidelines. • Manage time effectively to meet all required deadlines and timeframes for client and department needs. • Collaborate in a team environment with the Department Manager and other staff on a regular basis. • Ensure compliance with all relevant regulations, standards, and laws.

🎯 Requirements

• 5 years medical abstract coding/auditing Pro-Fee experience required • Minimum 3 years experience in coding audit or quality review work required • CPMA certification within one year from date of hire • Coding Certification through AHIMA or AAPC • Two of the following certifications (or eligibility therefor): CPC, CEMC, CPMA, CRC, CPB, Specialty certification, CCS-P, RHIT • Ability to create and follow written procedure • Ability to provide professional written communication and excellent customer service • Technical proficiency with computers, basic Microsoft software, and medical software systems (PM/EHR) • Strong organizational skills • Excellent communication skills and ability to work in a team environment • Strong technical and computer skills (PM/EHR Software, Excel, Outlook, MS Office, Web) • Ability to learn new systems, software, and client specialties quickly • Self-starter with little to no supervision

🏖️ Benefits

• 401k • flexible PTO • generous Employee illness benefit (EIB) • medical • dental • vision • tuition reimbursement • Employee Assistance Program