Jorie AI
End-to-End Revenue Cycle Management AI Automation
Medical Coding, Multi-Specialty QA Specialist
Location
Illinois
Posted
39 days ago
Salary
$28 - $32 / hour
High School4 yrs expEnglish
Job Description
• Responsible for the quality assurance of our internal coding team and performs quality audits to ensure compliance with coding guidelines.
• Leverages extensive knowledge of federal, state, and payer-specific regulations and policies to audit coded charts.
• Provide coding, financial and/or operational reports, and provide feedback to improve documentation to maximize revenue and reduce denials.
• Performs audits of the coding team, providing feedback and education based on results.
• Develops overall educational materials based on common trends identified during the audit process.
• Conducts internal coding audits and analysis of issues holding up accounts and follows guidelines.
• Identifies areas of utilization improvements and monitors expected outcomes.
• Identifies recurring problems and procedural deficiencies and provides solutions to eliminate them.
• Research and update new and/or revised coding and compliance standards.
• Performs other related duties as required or requested.
Job Requirements
- High school diploma or equivalency
- AAPC Certified Professional Coder (CPC) certification is required
- Other relevant certifications (CPMA, CEMC) are a plus
- A minimum of 4 years of experience in a multi-specialty physician practice or clinic, coding multiple medical/surgical specialties/subspecialties
- A minimum of 3 years of prior experience translating coding error trending and quality assurance and translating these results into process improvements with minimum supervision required
- Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies
- Proficiency in using medical billing software and EHR systems
- Attention to detail with the ability to identify/resolve problems and document the outcome
- Ability to collaborate effectively in a team setting to maximize quality and efficiency of operations
Benefits
- 401(k) matching up to 4%
- Medical
- Dental
- Vision
- Long/Short Term Disability insurance
- Life insurance $25,000 Paid by employer
- PTO 2 weeks
- 10 and half Holidays