Coding Quality Assurance Coordinator - REMOTE

US Anesthesia Partners, Inc.

2d•$24 - $39•Remote

About The Position

The purpose of the RCM Coding QA Coordinator position is to provide key data needed to drive continuous improvements within the RCM teams. The QA Specialist will specifically focus on adherence to all USAP compliance policies. This will be done through process audits, written reports and analysis of the reports as needed. Work products and outputs will include detailed audits and reports to identify process and quality deficiencies, analysis and recommended plans of actions to improve audited processes, as well as to recommend training needs. Responsibilities include reviewing professional coding and RCM workflow accuracy and quality. The RCM Coding QA Specialist will assist Management in routine reviews of policies and procedures, and the implementation of improvement plans as needed. This person has increased knowledge of the coding role and a complete understanding of their work as it relates to the business and consistently meets productivity and quality measures; require little to no oversight or supervision. This role is expected to maintain the highest level of confidentiality regarding auditing results. At this time, US Anesthesia Partners does not hire candidates residing in California, Hawaii, or Alaska. The base pay estimate for this role is $24.13 - $38.65 hourly. The final offer will depend on the skills, experience, and qualifications of the selected candidate. This range is for base pay only and does not include bonuses or other compensation. This position is eligible for a quarterly bonus. Bonuses are not guaranteed and are awarded based on company and individual performance.

Requirements

Excellent verbal and written communication skills
Ability to prioritize work
Strong background in lifecycle of a claim, collection and billing knowledge is essential
Maintain specialty certification CEU’s, coding updates and all regulatory or payer guidance
Analytical skills to summarize audit findings into statistically meaningful reports
Strong presentation and written skills
Ability to work effectively and independently with RCM staff
Must have keyboard skills with knowledge of Microsoft Word, Excel and PowerPoint
Must have a pleasant disposition and high tolerance level for diverse views, varied skill levels, and positions
Ability to work independently with little to no supervision
Ability to adapt to a quick paced environment that may include changing priorities
Willing and eager to assist team members in achieving overall department productivity requirements
Strong time management skills
Ability to read, write, and speak English
High School diploma or equivalent
National Coding Certification (AHIMA, AAPC)
Compliance auditing and Specialty Coding Education experience
National Certification and Minimum of five years’ Experience in physician coding, Anesthesia/Pain Management, Surgery and E/M, ICD-10, with experience in Academic settings
Proficiency in MS Office Excel, Word and Power Point
Experience in Revenue Cycle and Claim processing

Nice To Haves

Experienced with Athena IDX or similar system is preferred
Knowledge of anesthesia billing preferred
Clinical certification or experience preferred
Experience in Physician Billing Compliance preferred

Responsibilities

Audit work is primary in coding RCM workflows and secondary responsibilities within the general RCM production teams, to ensure compliance with policies and procedures, expected system functionality usage, and departmental workflows
Partner with the Education & Development department to assist in development and implementation of education programs based on identified quality issues
Partner with colleagues to ensure all auditing needs are met
Act as a Subject Matter Expert (SME) within the auditing team at both a national and regional level
Complete user and workflow audits in a timely manner, enabling department leadership to use audit data to improve and drive positive changes
Identify specific individual and department training needs, and assist in ongoing process improvement opportunities through audit analysis
Review of policy changes, and implementation of those changes, into audit process and reporting
Maintain up-to-date knowledge of department specific workflows, processes and system configuration updates, by actively partnering with RCM and coding leaders
Provide feedback to the Education and Development team regarding training materials to ensure they are updated as needed
Perform ad-hoc audits as needed
Work with cross-functional teams to improve quality and performance through process improvement initiatives
Maintain strictest confidentiality
Participate in QA meetings, and be an active player in achieving annual departmental goals
Responsible for developing and facilitating monthly reports, including content used for executive summaries
Perform audits on peers to drive continuous improvements within the QA teams
Review QA team’s backlog of work, and self-assign work as needed
Performs other duties, as assigned