230,000+ live roles 13,000+ active employers ✦ 390+ posted in 24h California market · 18,330 jobs Texas market · 16,000 jobs Florida market · 14,195 jobs New York market · 11,773 jobs California jobs · 18,330 Texas jobs · 16,000 Florida jobs · 14,195 New York jobs · 11,773 Healthcare · 102,724 jobs Patient Care · 96,499 jobs BLS · 46,823 jobs Registered Nurse · 42,619 jobs Documentation · 25,226 jobs CPR · 22,008 jobs 230,000+ live roles 13,000+ active employers ✦ 390+ posted in 24h California market · 18,330 jobs Texas market · 16,000 jobs Florida market · 14,195 jobs New York market · 11,773 jobs California jobs · 18,330 Texas jobs · 16,000 Florida jobs · 14,195 New York jobs · 11,773 Healthcare · 102,724 jobs Patient Care · 96,499 jobs BLS · 46,823 jobs Registered Nurse · 42,619 jobs Documentation · 25,226 jobs CPR · 22,008 jobs

Loading market signalLoading market signalLoading market signalLoading market signalLoading market signalLoading market signalLoading market signalLoading market signalLoading market signalLoading market signal

Coding Quality Specialist 2: PB Outpatient - OB, GYN & Primary Care

Quick overview

The Coding Quality Specialist assigns and reviews diagnostic and procedural codes to ensure accurate billing and regulatory compliance. They also manage charge review work queues, provide feedback to providers, and mentor junior staff.

Requirements summary

Candidates must possess a High School Diploma or GED and at least three years of coding or clinical experience. A professional certification as a CPC through AAPC or CCS-P through AHIMA is required.

high schoolprofessional certificateEpicMentorshipHCPCSICD-10-CMRegulatory complianceCPT-4Medical terminologyDocumentation reviewMedical codingCharge captureCharge reviewClaim editsPhysician queryingNCCI guidelines

Job description

Assigns and reviews the accuracy of the diagnostic codes (ICD-10-CM) and CPT codes for providers’ Evaluation and Management Services (E/M), procedures and diagnostic testing in all settings for purposes of billing, research and providing information to government and regulatory agencies.
Incumbent may perform only certain of the following responsibilities depending on their work assignment.
Reviews documentation in medical record to appropriately assign ICD-10-CM, CPT-4, HCPCS and modifiers within a timely manner to capture all services rendered by providers at all locations.
Encounters may be within Epic, outside electronic medical record systems, or based on paper documentation.
Reviews and resolves charge sessions that fail charge review edits, claim edits and follow-up work queues, identifies areas of opportunity based on findings/resolution of errors.
Manages assigned charge review and coding-related claim edit work queues to ensure timely and accurate charge capture.
Accurately deciphers charge error reasons and plans follow-up steps.
Assists physicians/providers with questions regarding coding and documentation guidelines.
Provides ongoing feedback based on observations from coding physician/provider documentation.
Identifies opportunities for education and communicates trends to coding leadership and/or provider education team Ensures all coded services meet appropriate governmental regulations and guidelines, National Correct Coding Initiative (NCCI) or payer-specific guidelines.
Utilizes available resources for assignment of codes as necessary (e.g., Diagnostic Imaging system, Lab system, Emergency, Epic, and coding reference software and/or books).
Trains and provides mentorship to Coding Quality Specialist Level 1 staff to effectively perform their job responsibilities following current coding policies and procedures at the discretion of coding leadership Assists coders with medical terminology, disease processes and surgical techniques.
Assists other coders in resolving coding issues/questions.
Performs peer review as directed from coding leadership.
Queries physicians to obtain clarification or missing elements in the record preventing correct coding.
Performs other duties as assigned.
MINIMUM REQUIREMENTS Education: High School Diploma or GED Experience: Three years of coding/clinical experience Licensure: Must be CPC through AAPC or CCS-P through AHIMA to qualify for all functional areas PHYSICAL DEMANDS This is primarily a sedentary job involving extensive use of desktop computers.

Benefits

Dental Insurance
Paid Time Off
Vision Insurance
Retirement Savings
Medical Insurance
Flexible Spending Accounts
Short-term Disability
Long-term Disability
Certification support
Education support
Health Saving Plans

Coding Quality Specialist 2: PB Outpatient - OB, GYN & Primary Care

Quick overview

Requirements summary

Job description

Benefits

Benefits

More openings at UVA Health

More district openings

Similar live jobs