Coding Quality Review Specialist
Coding Quality Review Specialist
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1 Vacancy
Job Description
Coding Quality Review Specialist
Location: Remote
Salary Range: $87000K to $104000 annually
Job Type: Fulltime; Inoffice
Who Are We
Parallon is a leader in revenue cycle services partnering with over 650 hospitals and 2400 physician practices across the nation. As part of the HCA Healthcare familya Fortune 100 company consistently recognized by Ethisphere as one of the Worlds Most Ethical Companies we are committed to delivering exceptional patient experiences even after they leave our facilities. Join a team dedicated to excellence and innovation in healthcare!
Whats In It for You
- Pay: $42.28 $50.00 per hour
- Remote Work Environment: This is a fulltime workfromhome opportunity offering the convenience of remote work.
- Professional Growth: Work alongside industry leaders while enhancing your skills with a focus on quality compliance and coding standards.
- Impactful Work: Play a crucial role in ensuring accurate medical coding data integrity and appropriate reimbursement.
- Competitive Standards: Contribute to an organization that values precision productivity and continuous learning.
What Will You Do
As a Coding Quality Review (CQR) Specialist you will:
- Lead and coordinate quality reviews for inpatient and outpatient coding across multiple Health Information Management Service Centers (HSCs).
- Perform routine prebill policydriven and incentive plandriven coding reviews.
- Ensure adherence to national coding guidelines and company policies to guarantee accuracy and compliance.
- Demonstrate expert knowledge of medical coding practices and participate in special reviews or projects.
- Maintain productivity and accuracy standards achieving at least 95% in both metrics.
- Stay current on all official data quality standards coding guidelines policies and clinical/medical resources.
What Will You Need
- Education: Undergraduate degree in HIM/HIT preferred (Associates or Bachelors).
- Certifications: RHIA RHIT and/or IP Coding Auditor for MSDRG required.
- Experience:
- Minimum 10 years of handson medical coding experience.
- At least 3 years of MSDRG auditing experience in a hospital setting.
- Broad experience across all body systems; specialists in one area (e.g. orthopedics) are not eligible.
- Skills: Strong knowledge of medical coding practices attention to detail and the ability to maintain productivity and accuracy standards.
- Location: Please note that we cannot hire candidates residing in California Alaska New York or Colorado for this position.
- Assessment: Completion of a coding test (20 multiple choice/true/false and 57 openended behavioral questions; 90 minutes) is required.
Be part of a team that values quality compliance and innovation. Apply today to make a difference in healthcare!
Whats In It for You
- Pay: $42.28 $50.00 per hour
- Flexible Work Environment: This is a fulltime workfromhome opportunity offering the convenience of remote work.
- Professional Growth: Work alongside industry leaders while enhancing your skills with a focus on quality compliance and coding standards.
- Impactful Work: Play a crucial role in ensuring accurate medical coding data integrity and appropriate reimbursement.
- Competitive Standards: Contribute to an organization that values precision productivity and continuous learning.
Employment Type
Full Time
