Coding Quality Assurance Specialist

Job Description:

Job Purpose:

The Coding Quality Assurance Specialist is responsible for conducting coding quality assurance activities for
Health Information Services.

Essential Functions:

· Reasonable accommodations may be made to enable individuals with disabilities to perform the essential
functions.

· Manage audit procedures, diagnoses and modifiers based on clinical documentation, utilizing generally
accepted coding standards and payer-specific policies where applicable

· Assess quality of clinical documentation to support quality initiatives

· Document audit findings using audit tools and standards; analyze findings and develop
recommendations for key findings

· Generate audit summary reports and submit to the Coding Quality Assurance Specialist for review

· Act as a subject matter expert in the areas of coding and compliance

· Ensure healthcare information collected during the engagement is always secured Execute quality assurance special projects as assigned

Additional Functions:

Assist Coding Quality Assurance Manager with discussion of audit findings with audited coding
specialists as required

· Assist with coding related denial management, specifically conduct cross-client denial analysis, identify
and communicate opportunities for operational or coding improvements to avoid denials, research and
document coding guidelines as applicable
Coordinate resolution of client inquiries
Provide ongoing and periodic education to coding specialists on identified improvement opportunities
to achieve coding quality standards
Maintain an understanding of existing departmental workflows and systems
Engage existing technologies and workflows in execution of auditing and consulting engagements
when applicable
Complete HAP’s compliance program training and achieve target score
Support all compliance activities related to state, federal regulatory requirements, healthcare
accreditation standards

· Assist with special projects and perform other duties as assigned

Experience and Skills:

Knowledge and Skills:

· Proficient in understanding and ability to enter data into medical billing software

· Ability to utilize a personal computer, multiple networks and internet navigation

· Intermediate knowledge of Microsoft Office; specifically, Outlook, Word, Excel, PowerPoint, Access and
Visio

· Ability to multi-task, accessing multiple data bases and sites at the same time

· Strong time management and organizational skills

· Ability to plan, organize and prioritize work in multiple situations

· Ability to work within a team setting and participate in accomplishing department goals

· Strong interpersonal, written, and oral communication skills.

· Demonstrated understanding and compliance with HIPAA privacy requirements

Education and Work Experience:

Associate degree or bachelor’s degree in a related discipline, preferred
One or more professional credentials through AHIMA or AAPC: CPC, CPC-H, CCS, CCS-P, RCC, RHIA,
RHIT, CEMC, CPMA or specialty coding credential
Minimum three years coding and/or auditing experience

Schedule:

• 8 hour shift
• Monday to Friday

Schedule:

• 8 hour shift
• Monday to Friday

Work setting:

• Remote

Experience:

• Coder- Auditing: 3 years (Required)
• Pro-fee- Auditing: 3 years (Required)
• Interventional Radiology- Auditing: 3 years (Required)
• ENM: 3 years (Required)
• Multi-Specialty- Auditing: 5 years (Preferred)

License/Certification:

• CPC (Required)

Work Location: Remote

• Remote

Experience:

• Coder- Auditing: 3 years (Required)
• Pro-fee- Auditing: 3 years (Required)
• Interventional Radiology- Auditing: 3 years (Required)
• ENM: 3 years (Required)
• Multi-Specialty- Auditing: 5 years (Preferred)

License/Certification:

• CPC (Required)

Work Location: Remote

Benefits

ABOUT THE ORGANIZATION
Healthcare Administrative Partners was founded in 1995 on the principle that hospitals and physician practices require a partner whose primary goal is to continually improve its clients' key business performance metrics. We're here to help today's medical professionals enjoy success with unmatched billing and revenue cycle management services for the health care industry.

THIS POSITION IS CURRENTLY ACCEPTING APPLICATIONS.

Job Type: Full-time

Salary: $23.00 - $30.50 per hour

Benefits:

• 401(k) matching
• Dental insurance
• Health insurance
• Life insurance
• Paid time off
• Vision insurance