Specialist - Quality

Job Description

Eligibility Criteria:Education Any Graduate, Post Graduate.Currently working as Process Trainer/QA/SME/Team leader/Group Coordinator will be added advantage.Candidate should possess minimum of 5+ years of experience in medical coding in coding/auditing/training role. Candidate should have overall experience of 4 years in the applied specialty. Candidate should be certified in medical coding at AAPC or AHIMA accreditation (should not be recently certified)Should have expert knowledge of ICD-10-CM, CPT, hospital outpatient, and emergency department coding rules, National Correct Coding Initiative edits, CPT Assistant coding guidelines, APCs, Official Coding Guidelines and Coding Clinic guidelines.Excellent process knowledge & Domain understanding. Ability to review and interpret complex medical records.Multispecialty proficiency will be an added advantage. Ability to learn new applications/software systems effectively and efficiently.Ability to work independently and make sound decisions. Good verbal and written communication and analytical skills. Skilled in interpersonal, written, and verbal communication, including email. Responsibilities:Floor support and 100% reviews to coders during transitions & Prebill phase to ensure meeting on quality standards.Conducting focused and retro reviews for all assigned coders and FacilitiesRegular audit feedbacks and coding queries resolution. Providing regular updates monthly coding articles, newsletters & hot topics for enhancing coders knowledge & expertiseParticipating in client call and meetings. Working in an evolving healthcare setting, we use our shared expertise to deliver innovative solutions. Our fast-growing team has opportunities to learn and grow through rewarding interactions, collaboration and the freedom to explore professional interests.