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Quality Analyst - Anesthesia Coding

Quality Analyst - Anesthesia Coding

Guidehouse

5 - 9 years

0 Lacs

chennai tamil nadu

Posted:2 weeks ago| Platform: Shine logo

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Skills Required

medical coding ms office excel anatomy physiology medical terminology anesthesia coding aapc ahima icd10pcs coding coding software encoder emr systems coding specialties surgical techniques

Work Mode

On-site

Job Type

Full Time

Job Description

Role Overview: You will be responsible for planning, monitoring, directing, and evaluating QA production on a daily basis. You will ensure that daily schedules are met and communicate with the Director and Coding Operations in case of any situations hindering meeting deadlines. In case of system issues or emergencies delaying QA, you will implement measures/schedules to return to established schedules at the earliest possible time. Close collaboration with each quality specialist will be necessary to ensure client requirements are met. Key Responsibilities: - Ensure that the QA communicates a valid, workable schedule for clients each week, accurately and on time. If this doesn't happen properly, it is your responsibility as the Lead QA Specialist to rectify promptly. - Review medical record documentation for accuracy in code assignment of primary/secondary diagnoses and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnosis and procedures following coding guidelines and ensure accurate MS-DRG/APC assignment when applicable. - Answer queries from the quality staff on a day-to-day basis and escalate to the Director of Coding when necessary. - Meet agreed sampling targets and accuracy levels. - Keep abreast of coding guidelines and reimbursement reporting requirements. - Document QA data on teams of QA/coders and record findings in the QA system for reporting to clients, identifying risk areas, developing training and education programs, and implementing standardization within the organization. - Coordinate continuing education for all coding/QA teams and schedule quality meetings with the QA and production staff. - Actively participate in project launch sessions to understand the coding process and be flexible to work with any assigned team. - Adhere to the Standards of Ethical Coding set forth by the American Health Information Management Association and official coding guidelines. - Maintain a thorough understanding of anatomy, physiology, medical terminology, disease processes, and surgical techniques to apply ICD-9-CM and CPT-4 coding guidelines effectively. - Assist with research, development, and presentation of continuing education programs on areas of specialization and special projects as required. Qualifications Required: - Minimum of 5+ years of experience in medical coding with Anesthesia coding - Certification from AAPC/AHIMA - Hands-on experience in Anesthesia - Graduate degree - Strong analytical, research, and organizational skills - Familiarity with ICD-10-PCS coding systems for accuracy and compliance with regulatory and reimbursement requirements Additional Details: Guidehouse is an Equal Opportunity Employer that offers a comprehensive total rewards package including competitive compensation and flexible benefits. They are committed to creating a diverse and supportive workplace environment.,

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Quality Analyst - Anesthesia Coding