Coding Quality Specialist

Overview

• Join a leading healthcare organization as a Coding Quality Specialist, ensuring excellence in coding practices and compliance with industry standards.
• Work in a remote capacity, utilizing advanced tools to conduct quality reviews and enhance coding accuracy.
• Collaborate with dedicated teams to improve data integrity and reimbursement processes.
• Engage in continuous learning to stay updated on coding guidelines and clinical advancements.
• Contribute to impactful projects aimed at optimizing healthcare coding practices and standards.
• Work in a dynamic environment that values precision, collaboration, and professional growth.
• Ensure compliance with organizational policies while maintaining high productivity standards.
• Support the development of coding staff through educational initiatives and mentorship opportunities.

Key Responsibilities & Duties

• Conduct comprehensive quality reviews for inpatient and outpatient coding to ensure adherence to established guidelines.
• Utilize expert knowledge of medical coding to enhance accuracy and compliance with industry standards.
• Lead and participate in special projects focused on improving coding practices and data integrity.
• Maintain productivity and accuracy standards, consistently exceeding organizational benchmarks.
• Collaborate with Health Information Management Service Centers to facilitate coding reviews and improvements.
• Develop and deliver educational sessions to ensure coding knowledge remains current and relevant.
• Review and interpret official data quality standards and clinical resources to maintain coding excellence.
• Mentor and support coding staff in achieving compliance and quality benchmarks effectively.

Job Requirements

• Bachelor of Science (BS) in Health Information Management or related field is preferred.
• RHIA, RHIT certification and/or mandatory IP Coding Auditor for MS-DRG is required.
• Minimum of 3 years of hands-on coding experience in MS-DRG auditing.
• Proficiency in coding for all body systems; specialization is not required.
• Strong knowledge of coding guidelines, policies, and clinical resources.
• Ability to consistently meet productivity and accuracy standards exceeding 95%.
• Experience in hospital coding and auditing environments is preferred.
• Successful completion of a coding test as part of the selection process.