Medical Coding Integrity Specialist, Professional Fee - Remote

The Medical Coding Integrity Specialist, Professional Fee - Remote JOB SUMMARY: The Medical Coding Integrity Specialist, Professional Fee is responsible for completing quality assurance reviews on internal or external professional coding specialists or external providers. This may also include onboarding audits and training of newly hired coding specialists. This role is responsible for validating the coding specialist is accurately abstracting data into appropriate client electronic medical record systems, following the Official ICD-10-CM, CPT, and HCPCS Guidelines for Coding, AMA CPT Guidelines, Evaluation and Management Guidelines, and CMS directives. The Coding Integrity Specialist also plays a key role in reporting quality results, tracking and trending of educational opportunities of the coding specialist, responding to client subject matter needs, and providing educational support and training to coders and/or providers. The Medical Coding Integrity Specialist is expected to maintain consistent coding auditing accuracy rate of 95% or better while also meeting agreed upon productivity standards. Only resumes / CVs that reflect the requirements of this job will be considered. To submit a general application, please use this link ESSENTIAL DUTIES AND RESPONSIBILITIES: Completes all regularly scheduled quality assurance reviews for clients Completes onboarding quality assurance reviews and training on all newly hired consultants May perform training to newly hired coding consultants Communicates quality issues to management as appropriate Assists with identification of, drafting, implementation, and monitoring of quality improvement action plans for coding consultant Maintains reports and accuracy rates for coding consultants and clients as appropriate Responds to client QA needs at the direction of management Provides coding consultants educational sessions on error trends as requested by management Notifies management when there is a compliance concern or incident Demonstrates knowledge of HIPAA Privacy and Security Regulations as evidenced by appropriate handling of patient information Promotes confidentiality and using discretion when handling patient information Attends educational conference calls Provides coding support to the business as needed Performs other duties as needed with the project Maintains required productivity and quality requirements Maintains coding credential requirements REQUIRED QUALIFICATIONS: Candidate must possess an approved AHIMA or AAPC coding credential Minimum 4 years' coding experience required; specialty experience may be preferred as per specific client needs Minimum 2 years of auditing experience preferred Extensive education and training of 2021 Evaluation and Management guideline Job Posted by ApplicantPro