You might also like
in Bellevue, WA
$49est. per hour The Coding Network LLC • 2h ago9.1 mi Use left and right arrow keys to navigate- Gravity Media • 2h ago
5.1 mi Use left and right arrow keys to navigate 
$22est. per hour Proliance Surgeons, Inc. • 2h ago5.8 mi Use left and right arrow keys to navigate- $22
est. per hour Proliance Surgeons, Inc. • 24d ago5.8 mi Use left and right arrow keys to navigate - $3,095
Verified per week Nationwide Therapy Group • 3d agoUrgently hiring 6 mi Use left and right arrow keys to navigate
Coding Qlty Anlyst - Telecommute Nationwide
| Hours | Full-time, Part-time |
|---|---|
| Location | Bellevue, WA Bellevue, Washington |
About this job
Health care isn't just changing. It's growing more complex every day. ICD10 replaces ICD9. Affordable Care adds new challenges and financial constraints. Where does it all lead? Hospitals and health care organizations continue to adapt, and we are vital part of their evolution. And that's what fueled these exciting new opportunities. Here's an opportunity to do your life's best work. (sm)
The Quality Management Auditor is responsible for supporting the coding manager to ensure quality coding services for LYNX clients. The Quality Management Auditor will perform audits of coders and sites, including audit follow-up and education; maintain coding guidelines and chargemaster integrity; and provide input for coder evaluations. The QM Specialist will work closely with the Coding Manager to prioritize tasks, follow up with sites and coders, and ensure quality and production goals are met. The QM Specialist may also complete contracted audits, client education and feedback, coder education and other LYNX projects as assigned.
The Quality Management Auditor is responsible for supporting the coding manager to ensure quality coding services for LYNX clients. The Quality Management Auditor will perform audits of coders and sites, including audit follow-up and education; maintain coding guidelines and chargemaster integrity; and provide input for coder evaluations. The QM Specialist will work closely with the Coding Manager to prioritize tasks, follow up with sites and coders, and ensure quality and production goals are met. The QM Specialist may also complete contracted audits, client education and feedback, coder education and other LYNX projects as assigned.
This telecommute opportunity offers flexible work hours and will entertain split shifts!
Primary Responsibilities:
- Coordinates with manager and QM Coordinator and performs audits on LYNX coders or other designated entity, including professional, facility, and ICD-9 charging/coding
- Provides analysis, feedback, and education for physician and facility documentation quality audits
- Generates reports on findings as required
- Works with Coding Manager to perform biweekly site monitoring to ensure consistent high quality coding
- Provides support to coding specialists and LYNX clients by fielding Coding Help Desk calls and performing claims reviews for assigned coders and sites
- Works with Coding Manager to implement new coding clients by providing input on client coding guidelines and chargemasters, and educates coders on same
- Assists with the implementation of changes resulting from new regulations or revisions to existing policies
- Works with Coding Manager to maintain Client Coding Guidelines and keeps coders informed of and educated on changes
- Recognizes patterns of coding and/or documentation deficiencies, educational deficits, and errors and works with coding manager to institute immediate corrective action with coders or clients as required
- Serves as preceptor for new coders on his/her team; monitors progress and provides additional training as needed
- Manages flow of assigned work and effectively utilizes resources to facilitate timely completion of tasks and acquisition of knowledge
- Maintains and applies coding and compliance skills and knowledge
- Completes thorough review of monthly coder education packet
- Addresses issues and questions from coders during the course of work and at coding staff meetings
- Maintains knowledge and understanding of all LYNX coding policies
- Provides FAQ questions for inclusion in monthly packet
- Understands coding guidelines and processes for all assigned sites
Additional Responsibilities:
- Attends monthly Coding Compliance Meetings led by Compliance Manager and is prepared to discuss issues, resolve questions, and ensure consistent coding direction across multiple coding teams and locations.
- Backs up production coding as necessary
- Maintains strict confidentiality with patient, client, company and employee data
Requirements
Required Qualifications:
- Coding credential required (RHIA, RHIT, CCS)
- Knowledge of CPT, ICD-9 and DRG coding required
- Three years of facility coding experience required
- Two years of previous facility auditing experience required
- MS Office experience required
- Experience with various encoder systems preferred (3M or Web.Strat)
Assets:
- ICD-10
Optum360 is a dynamic new partnership formed by Dignity Health and Optum to combine our unique expertise. As part of the growing family of UnitedHealth Group, we'll leverage all our resources to bring financial clarity and a full suite of revenue management services to health care providers nationwide.
If you're looking for a better place to use your passion and your desire to drive change, this is the place to be. It's an opportunity to do your life's best work. (sm)
Diversity creates a healthier atmosphere: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law.
UnitedHealth Group is a drug-free workplace. Candidates are required to pass a drug test before beginning employment.
Job Keywords: telecommute, clinical, RHIA, RHIT, CCS, CCS-P, CPC-H, CPT, ICD-9, DRG, inpatient, medical coder, coder, certified coder, telecommute, work from home, remote, auditor