Coding Quality Specialist

Overview

• Join a prominent healthcare organization as a Coding Quality Specialist, ensuring coding accuracy and compliance with industry standards in a remote capacity.
• Utilize advanced tools and methodologies to conduct thorough coding quality reviews and improve data integrity.
• Collaborate with cross-functional teams to enhance coding practices and optimize reimbursement processes.
• Engage in professional development to stay updated on coding guidelines and healthcare advancements.
• Contribute to impactful projects aimed at maintaining high standards in healthcare coding practices.
• Work in a supportive environment that values precision, teamwork, and continuous improvement.
• Support the growth of coding staff through mentorship and educational initiatives.
• Ensure compliance with organizational policies while achieving high productivity standards.

Key Responsibilities & Duties

• Conduct detailed quality reviews for inpatient and outpatient coding to ensure adherence to guidelines.
• Apply expert knowledge of medical coding to enhance accuracy and compliance with standards.
• Lead initiatives and projects focused on improving coding practices and data integrity.
• Maintain high productivity and accuracy standards, consistently meeting organizational benchmarks.
• Collaborate with Health Information Management teams to facilitate coding reviews and improvements.
• Develop and deliver educational sessions to ensure coding knowledge remains current and relevant.
• Interpret official data quality standards and clinical resources to uphold 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.