ICD - 10 QA Specialist, Inpatient/Outpatient

February 25

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Netsmart

Netsmart is a leading provider of comprehensive EHR solutions tailored for a wide range of care settings, especially in behavioral health, addiction treatment, autism, geriatrics, and intellectual and developmental disabilities. The company offers a range of software products that streamline operations, enhance care coordination, and promote value-based care across healthcare communities. In addition to EHRs, Netsmart provides technology solutions for care coordination, telehealth, population health management, and revenue cycle management, aiming to support the delivery of integrated and person-centered care. Their solutions are used in a variety of sectors including human services, post-acute care, and public health, making Netsmart a significant player in the healthcare technology industry.

Electronic Medical Record • Practice Management Software • Local Public Health • Behavioral Health • Vital Records Software

📋 Description

• Responsible for monitoring, reviewing, and proposing measures to correct or improve staff capability and quality • Accountable for internal competency of Inpatient/Outpatient Coding staff • Develop content for and deliver orientation and training for new associates and ongoing skill-based training for all reviewers • Complete quality assurance processes; document and report findings • Lead client and reviewer quality communication and resolution • Test McBee Clinical Review functionality • Act as an expert resource for highly complex or first-of-a-kind reviewer questions; ensure knowledge management resources are available, updated and leveraged. • Accountable to communicate quality concerns to all stakeholders

🎯 Requirements

• At least 4 years of experience in Inpatient/Outpatient Coding review • Expert in ICD-10 coding and guidelines • Proficient in Inpatient/Outpatient industry regulations and guidelines • Excellent communication and presentation skills • Working knowledge of Microsoft Office

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