Inpatient Coding Quality Analyst

Joinourdynamicteamandmakeameaningfulimpactinthehealthcareindustry.
You'llplayapivotalroleinensuringaccurateclaimsprocessingwhileadvancingyourcareerinasupportiveandinnovativeenvironment.
Enjoycompetitivebenefitsuponhire,ongoingprofessionaldevelopment,andthesatisfactionofhelpingotherseveryday.
TakethenextstepinyourcareerwithMed-Metrix ExperiencetheseexceptionalbenefitswhenyoujoinMed-Metrix 8-HourShifts,FixedWeekendsOff Day1HMOwith2ofyourdependentscoveredforFREE GroupLifeInsurance MedicalCashAllowance RiceAllowance ClothingAllowance HolidayGift BereavementAssistance FreeLunchDaily PaidTimeOff TrainingandStaffDevelopment EmployeeEngagementActivities OpportunitiesforInternalMobility JobPurpose The QualityAnalyst,InpatientCoding collaborateswithinternalstaffinthedevelopmentofimprovedcapabilitiesintheareasofdocumentation,coding,andcompliance.
TheQualityAnalyst,CodingwillassessandreviewtheoverallqualityofcodingonaccountscompletedbyMedicalCoders.
TheQualityAnalyst,Coding,ensuresadherencetoworkflowsandethicalcoding.
Thepositionrequiresadvancedknowledgeofprofessionalcoding(CPT,ICD-10-CMandHCPCS). The QualityAnalyst,InpatientCoding isresponsiblefordesigningandimplementingqualitycodingreviewprogramsandcommunicatingreviewfindingsandrecommendationstocodingmanagement.
Thepositionobtainsstatisticsandtheinformationnecessarytoassessriskforallareasofcoding. DutiesandResponsibilities Setsteamdirection,resolvesproblemsandprovidesguidancetomembersofownteam Lead,coach,recognizeanddevelopateamofEmployeesinallaspectsofthejobtomeetobjectivesandmaintaincompanyculture,polices,goalsandprocedures AdministertheQualityAssessmentprocesstoensureallqualitystandards/targetscanbemet Dailymanagementofalloperationalprocessestoensurethatquality,efficiencyandproductivitystandards/targetsaremet Actsasclientcontactforday-to-dayoperationalissuesandstaffassignments.
EscalateanyclientconcernsimmediatelytoMedicalCodingManagerorGeneralManager. Reviewandanalyzereports,records,anddatatomeetandexceedclientandcompanyobjectives. Collaboratewithallworkgroupstoresolveissuesthatimpactinternalandexternalcustomers. Rewardinganddiscipliningemployees;addressingcomplaintsandresolvingproblems Lookconstantlyfordevelopmentaswellascontinuousimprovementfortheentireteam. Ensurethattheemployeesfollowtheirschedulesproperlyasdesigned. Strivefornewwaystoincreasetheopportunitiesofefficient,accurateworkassignments. Handlecomplaints,questions,andqueriesasnecessary. Documentinggeneralreportsoneachteammember’sperformanceandtargetsaswellasensuringthattheyexceedthetargets. Monitorsystemstoensureoptimalperformance. Disseminateschangesinguidelinesandrules;monitorchangesinlaws,regulations,andpoliciesthatimpactclinicaldocumentation,reimbursementtoassurecompliance. Fosteranenvironmentofteamworkandserviceexcellencewithinthedepartment. Participateinperformanceimprovementactivities. Assistintheestablishmentof,implementationandmaintenanceofaformalizedreviewprocesstoensurecompliancewithcontractualagreementsregardingaccuracyrates. Assistinthecreation,monitoringandstandardizationofcompanypoliciesandprocedurestomonitorthesuccessofthedataqualitymanagementplan,reviewourandourclientsareasofrisk,investigateidentifiedissues,reportdataanalysesandtakeappropriatestepstocorrectanyviolations.
MakerecommendationstoensurethehighestcomplianceratewiththeMed-Metrixqualitymanagementplan. Participateinconferencecalls/meetingswithmanagementandstafftoensureallperformanceandtrainingrecommendationsareaddressedandimprovementsuggestionsareimplemented. Assistinnewhiretrainingclasses,transitionperiodsandrefreshertrainingsasneeded. Knowledgeof,understandingof,andcompliancewithallMed-Metrixpoliciesandprocedures. Providefeedbacktomanagementconcerningpossibleproblemsorareasofneededimprovement. Use,protectanddisclosepatients’protectedhealthinformation(PHI)onlyinaccordancewithHealthInsurancePortabilityandAccountabilityAct(HIPAA)standards. Qualifications GraduateofanyMedicalorAlliedMedicalcourseorhasequivalentworkexperience. HoldAAPCand/orAHIMAcertification.
CPMAisanadvantage. Atleast3yearsofIPDRGCoding ProficientwithE/MandCPTProcedurecoding. Minimumofsix(6)monthsexperiencewithexceptionalperformanceinchosenareaofqualitymanagementMedicalCoding–demonstratedHIPAAknowledgerequired Abilitytoworkinateamfosteredenvironmentandhavethewillingnesstoadjusttochangingjobresponsibilities,shiftingschedules,newproceduresandunexpectedworkloadsandstresses. Possessstrongverbal,writtencommunication,interpersonalskillsandanalyticalskills Willingnessandflexibilitytoworkextendedhours. Assertiveself-starterwhocanworkindependently,yetfunctioninateamenvironment Abilitytoplanwellandprioritizeworkandmaintaincalmnessunderpressure. AnunderstandingandstrictadherencetoallHIPAAregulations WorkingConditions WorkSet-Up:WorkFromHome WorkSchedule:Dayshift PhysicalDemands:Whileperformingthedutiesofthisjob,theemployeeisoccasionallyrequiredtomovearoundtheworkarea;Sit;performmanualtasks;operatetoolsandotherofficeequipmentsuchascomputer,computerperipheralsandtelephones;extendarms;kneel;talkandhear. MentalDemands:Theemployeemustbeabletofollowdirections,collaboratewithothers,andhandlestress. WorkEnvironment:Thenoiselevelintheworkenvironmentisusuallyminimal. Med-Metrixwillnotdiscriminateagainstanyemployeeorapplicantforemploymentbecauseofrace,color,religion,sex(includingpregnancy,genderidentity,andsexualorientation),parentalstatus,nationalorigin,age,disability,geneticinformation(includingfamilymedicalhistory),politicalaffiliation,militaryservice,veteranstatus,othernon-meritbasedfactors,oranyothercharacteristicprotectedbyfederal,stateorlocallaw.