Job Description
Medical Coding QA Specialist – ProFee
US-Virtual/Remote
Job ID
2023-3095
# of Openings
1
Category
Medical Coding
Minimum Hours
25
Type
Per Diem
Overview
Medical Coding QA Specialist – PT
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.
Responsibilities
- Extensive Pro Fee experience in CPT, Modifier and ICD 10 coding specific to Diagnostic Radiology
- 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
- Ability to be flexibile if coder meetings are required.
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