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108 Guidehouse Jobs
Quality Analyst - Surgery_Facility
5-10 years
₹ 4.05 - 8.5L/yr (AmbitionBox estimate)
This is an estimate of the average salary range for this
position. It has not been reviewed by the company, and
the actual salary may differ.
Chennai, Thiruvananthapuram
1 vacancy
Quality Analyst - Surgery_Facility
Guidehouse
posted 21hr ago
Job Role Insights
Fixed timing
Key skills for the job
Job Description
- Plans, monitors, direct and evaluate QA production on a daily basis. Ensures that daily schedules are met and communicates with Director, and Coding Operations if situations occur that hinder meeting deadlines. If system issues or other emergencies delay QA, an implement measures/schedules to return to established schedules at the earliest possible time. This should be done closely with each quality specialist to ensure the needs are met and that satisfy our client requirements.
- Responsible for ensuring that the QA communicates a valid, workable schedule for his or her client each week. Accurate, sensible on-time.**If this doesn t happen properly, it s the responsibility of the Lead QA Specialist to make it happen promptly.
- Review medical record documentation for accuracy in code assignment of the primary/secondary diagnosis and procedures using ICD-9-CM and CPT-4 coding conventions. Sequence the diagnosis and procedures using coding guidelines. When applicable, ensure MS-DRG/APC assignment is accurate. Abstract and compile data from medical records for appropriate optimal/complaint reimbursement for hospital and/or professional charges. This involves reviewing code assignments that are not straightforward or the documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
- Answers queries from the quality staff on a day to day basis and escalating to the Director of Coding as necessary.
- Meets agreed sampling targets and accuracy.
- Keeps abreast of coding guidelines and reimbursement reporting requirements.
- Documents QA data on teams of QA/coders and records findings in the QA system (RevAudit), which will be for reporting to the client, identifying risk areas, development of training and education programs and development/implementation of standardization within the organization. This also involves guidance and mentorship of coders.
- Helps to ensure that continuing education is planned, scheduled and completed for all coding/QA teams through the coordination of the US.
- Coordinates scheduled quality meetings with the QA and production staff.
- Brings identified concerns to RevenueMed s coding compliance management for discussion.
- Project Launch - Active involvement in project launch sessions along with team leaders to understand the coding process.
- Have a rotational arrangement and is flexible to work with any given team as assigned.
- Abides by the Standards of Ethical Coding as set forth by the American Health Information Management Association and adheres to official coding guidelines. -
- Maintain a thorough understanding of anatomy and physiology, medical terminology, disease processes and surgical techniques to effectively apply ICD-9-CM and CPT-4 coding guidelines to inpatient and outpatient diagnoses and procedures.
- Assist with research and development and presentation of continuing education programs on areas of specialization.
- Assist with special projects as required. Example: Focused audits; client launches, etc.
- Shall understand and abide by the organizations information security policy and protect the confidentiality, integrity and availability of all information assets.
- Shall report incidents related to security of information to concerned authorities.
Employment Type: Full Time, Permanent
Read full job descriptionGuidehouse Interview Questions & Tips
Prepare for Guidehouse Quality Analyst roles with real interview advice
Top Guidehouse Quality Analyst Interview Questions
Q2. What is PCP and rendering provider
Q3. What do you mean by CPT and ICD
What people at Guidehouse are saying
Rating based on 27 Quality Analyst
reviews
Anonymous · Other
in Chennai
Likes
Nothing to like...full politics with Kerala people
Dislikes
Work culture is terrible and pathetic
- Skill development - Poor
+5 more
Quality Analyst salary at Guidehouse
reported by
219
employees
with 4-10
years exp.
₹3.7
L/yr - ₹9
L/yr
44%
more
than the average Quality Analyst Salary in India
View more details
What Guidehouse employees are saying about work life
based on 629 employees
Strict timing
Monday to Friday
No travel
Night Shift
Guidehouse Benefits
View more benefits
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