Senior Quality Specialist

1 week ago

Biñan, Calabarzon, Philippines beBeeCoding Full time $70,000 - $90,000

Delivering Quality in Coding Initiatives

Job Description:

The Quality Analyst, Coding plays a pivotal role in ensuring the highest standards of quality in coding initiatives. This position collaborates with internal staff to develop and improve capabilities in documentation, coding, and compliance.

The Quality Analyst, Coding assesses and reviews the overall quality of coding on accounts completed by Medical Coders, ensuring adherence to workflows and ethical coding practices.

This role requires advanced knowledge of professional coding (CPT, ICD-10-CM, and HCPCS) and involves designing and implementing quality coding review programs.

The incumbent communicates review findings and recommendations to coding management and obtains statistics and information necessary to assess risk for all areas of coding.

Required Skills and Qualifications:
  • Graduate of any Medical or Allied Medical course or has equivalent work experience.
  • Hold AAPC and/or AHIMA certification. CPMA is an advantage.
  • Proficient with E/M and CPT Procedure coding.
  • Minimum of six months experience with exceptional performance in chosen area of quality management Medical Coding – demonstrated HIPAA knowledge required.
Benefits:
  • Competitive benefits upon hire.
  • Ongoing professional development.
  • Free Lunch Daily.
  • Paid Time Off.
  • Clothing Allowance.
Others:
  • Collaborate with all workgroups to resolve issues that impact internal and external customers.
  • Rewarding and disciplining employees; addressing complaints and resolving problems.
  • Ensure that employees follow their schedules properly as designed.

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