QA - Medical Coder

QA - Medical Coding

Edifecs is looking for a Quality Analyst who will assess and review the overall quality of coding on accounts completed by Medical Coders. The Quality Analyst, Medical Coding, ensures adherence to workflows and ethical coding.

What you will do:

• Extracting relevant information from patient records.
• Liaising with physicians and other parties to clarify information.
• Examining documents for missing information.
• Assigning CPT, HCPCS, ICD-10-CM, and ASA codes.
• Assigning APC and DRG codes.
• Ensuring documents are grammatically correct and free from typing errors.
• Performing chart audits.
• Ensuring compliance with medical coding policies and guidelines.

What you will bring:

• Bachelors degree (or equivalent) in health information systems or related field.
• 3+ years of work experience as a QA in medical coding.
• Experience in ICD-9, ICD-10, and/or CPT medical billing codes.
• Experience in auditing concepts and principles.
• Experience in medical terminology.
• Ability to maintain confidentiality of sensitive information
• An understanding and strict adherence to all HIPAA regulations
• Possess strong verbal, written communication, interpersonal skills and analytical skills
• Assertive self-starter who can work independently, yet function in a team environment