QA/Process Specialist - Medical Coding

Join our team as the expert you are now and create your future.

JOB DETAILS:

- Monitors performance of all coding staff using key metrics including, but not limited to daily coding volume, assignments worked, client project deadlines and coding accuracy performance to achieve and maintain a 95% coding quality accuracy rate.
- Escalate Production and QA concerns or roadblocks to the Manager for involvement as needed. Work closely with the Training teams members to communicate progress across the Team to the Manager.
- Reviews both production and quality accuracy reporting and/or system reports on progress for all assigned projects and share feedback
- Motivates team members through effective training and coaching to improve quality and professionalism on work assignments. Conducts monthly team meetings and annual performance evaluations with team members.
- Monitors and maintains team attendance records and time sheet for coders.
- Completes any special projects, such as full coding audit, and other duties as assigned in a timely manner.
- Mentors staff to maximize performance and potential.
- Assist in maintaining and monitoring team member job satisfaction and morale.
- Demonstrated domain expertise in quality process related to meeting production schedules and the coding of medical diagnoses and treatment practices
- Deep understanding of both the production and quality assurance coding process and guidelines in EM OP coding.
- Analytical and problem solving skills, and the ability to use data to identify patterns and trends.
- Experience providing training, coaching, and development to team members, as well as providing regular feedback regarding work performance
- Must possess strong communication skills to convey information across multiple team members with varying skill sets.
- Maintains a high degree of professional and ethical standards
- Focuses on continuous improvement by working on projects that enable customers to arrest revenue leakage while complying with the standards.
- Focuses on updating coding skills and knowledge by participating in coding team meetings and educational conferences
- Extensive knowledge of coding principles and guidelines.
- Extensive knowledge of hospital/technical and professional services reimbursement systems.
- Extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding, and billing for professional and technical services.
- Strong managerial, leadership, and interpersonal skills.

QUALIFICATIONS:

- Graduate or Post Graduate in Life Science, Pharmacy, Physiotherapy, Zoology, Microbiology discipline
- 5+ years of industry experience
- CPC - Certified Coding Professional or
- CCS - Certified Coding Specialist