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Coding Quality Reviewer/Auditor

Company: Parallon
Location: Tampa
Posted on: October 21, 2019

Job Description:

Description SHIFT: Work From Home

SCHEDULE: Full-time

A Coding Quality Reviewer (CQR)--performs internal quality--reviews on HIM Service Center (HSC) coders to ensure compliance with coding guidelines and HSC/company policies for complete, accurate, and consistent coding which result in appropriate reimbursement and data integrity.--These reviews encompass--IP, I10 CM/PCS and MS-DRG validation,--CPT, Modifiers, E&M, I&I validation.--Coding quality is crucial to ensure the best patient experience and to provide appropriate reimbursement for services rendered.-- You will operate in a work from home environment with your team members just a click of the keyboard or a phone call away.--We offer you an excellent total compensation package, including competitive salary, excellent benefit package and growth opportunities. We believe in our team and your ability to do excellent work with us. Your benefits include work from home, 401k, PTO, medical, dental, flex spending, life, disability, tuition reimbursement, employee discount program, employee stock purchase program and student loan repayment. We would love to talk to you about this fantastic opportunity.
We are an amazing team that works hard to support each other and are seeking a phenomenal addition like you who feels patient care is as meaningful as we do. We want you to apply now.
What you will do in this role:

  • You will lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven) for inpatient and outpatient coding across multiple HSCs--
  • Assist in ensuring HSC coding staff adherence with coding guidelines and policy
  • Demonstrate and apply expert level knowledge of medical coding practices and concepts
  • You will participate on special reviews or projects
  • Maintain or exceed 95% productivity and 95% accuracy standards
  • Review all official data quality standards, coding guidelines, company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain currentQualifications



    EDUCATION
  • Undergraduate degree in HIM/HIT preferred--
  • Equivalent work experience may substitute degree requirementEXPERIENCE
  • Minimum of 3 years' acute care inpatient/outpatient coding experience preferred
  • Minimum of 3 years' coding auditing/monitoring experience strongly preferredCERTIFICATE/LICENSE--
  • RHIA, RHIT and/or CCS preferred--Attributes you should have:
  • Coding Technical/Professional Knowledge and Skills- extensive regulatory coding, (ICD-10-CM, ICD-10- PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs and APCs) and associated reimbursement knowledge--
  • Effective Decision Making - relating and comparing; securing relevant information and identifying key issues; committing to an action after developing alternative courses of action that take into consideration resources, constraints, and organizational values
  • Work Standards --- setting high standards of performance for self and others; assuming responsibility and accountability for successfully completing assignments or tasks; self- imposing standards of excellence rather than having standards imposed
  • Leadership - leads individuals and groups toward desired outcomes, setting high performance standards and delivering leading quality services
  • Customer Orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations
  • Quality Orientation - accomplishing tasks by considering all areas involved, no matter how small; showing concern for all aspects of the job; accurately checking processes and tasks; being watchful over a period of time
  • Work Independently in a Remote Environment - is self-supporting; not needing to rely on others to complete a jobWe are an amazing team that works hard to support each otherand are seeking a phenomenal addition like you who feels patient care is asmeaningful as we do. We want you to apply now.
    Parallon is a division of HCA Healthcare which ranks onFortune---s list of Most Admired and HCA ranks in the top 100 on the Fortune 500list. In addition, Ethisphere named HCA as one of the World---s Most EthicalCompanies. We want you to join our tradition of excellence. Intrigued? We---dlove to hear from you.
    If you find this opportunity compelling, we encourage youto apply. We promptly review all applications. If you are highly qualified, youwill hear from one of our managers. We are actively interviewing so applytoday!
    We are an equal opportunity employer and value diversity atour company. We do not discriminate on the basis of race, religion, color,national origin, gender, sexual orientation, age, marital status, veteranstatus, or disability status.


    Company Description:

    HCA Healthcare is a collaborative healthcare network, driven by physicians, nurses and colleagues helping each other champion the practice of medicine to give people a healthier tomorrow. With a comprehensive network of more than 270,000 people across approximately 1,800 care facilities, our scale enables us to deliver great outcomes for our patients, provide superior nursing care and be a preferred place for physicians to practice medicine. We never stop in our pursuit of insights and care advances based on the knowledge and data we gain from approximately 30 million patient encounters a year. Every day, we raise the bar to improve the way healthcare is delivered, not just in our facilities, but everywhere. We---re committed to improving more lives in more ways, and above all else, we are committed to the care and improvement of human life.

Keywords: Parallon, Bradenton , Coding Quality Reviewer/Auditor, Accounting, Auditing , Tampa, Florida

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