Job Description
Medical Coding QA Specialist – ProFee
US-Virtual/Remote
Job ID
2023-3081
# of Openings
1
Category
Medical Coding
Minimum Hours
Varies
Type
Per Diem
Overview
Diagnostic Radiology Coding Specialist – FT
GeBBS Healthcare Solutions, an industry leader in Health Information Management (HIM) and Revenue Cycle Management (RCM) solutions, is seeking highly motivated individuals with a passion for excellence & collaboration, for careers in the healthcare industry.
Here is your opportunity to be part of this exciting team. We are hiring now and have an immediate need for a Medical Coding QA Specialist ProFee. This position will be responsible for conducting internal coding audits and providing feedback. This position is full time thru September 2023, and then part time following.
Responsibilities
- Extensive Pro Fee experience in E/M, CPT, Modifier and ICD 10 coding
- Leverage extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and billing to audit coded charts
- Be able to apply client guidelines consistently
- Communicate with internal coding staff findings and provide recommendations on actions to be taken for improvement
- The ability to meet deadlines
- The ability to meet production and accuracy thresholds
Qualifications
- Coding certifications (AAPC or AHIMA), (CPC, CCS-P, RHIA, RHIT) required; CPMA preferred.
- Minimum 2-3 years pro fee coding for E/M and radiology.
- Strong knowledge of coding disciplines
- Extensive knowledge of medical terminology, medical billing and payment methodologies, including coding guidelines for ICD-10, CPT, HCPC, E/M, etc.
- Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations. Able to yield high quality coding audits via a manual coding audit process or technology enhanced audit tool
- Knowledge of quality metrics and commitment to enforcement of standards
- Cross functional expertise with the ability to work independently in a fast-paced environment
- Excellent verbal, written, and interpersonal communication skills
- Strong computer skills including MS Office (e.g., Excel and Word)
- Ability to multi-task and set/meet multiple deadlines under pressure with initiative, tact, and poise
- US-based candidates only