Specialist - Quality

Eligibility Criteria:

Education - Any Graduate, Post Graduate.Currently working as Process Trainer/QA/SME/Team leader/Group Coordinator will be added advantage.Candidate should possess minimum of 5+ years of experience in medical coding in coding/auditing/training role.Candidate should have overall experience of 4 years in the applied specialty.Candidate should be certified in medical coding at AAPC or AHIMA accreditation (should not be recently certified)Should have expert knowledge of ICD-10-CM, CPT, hospital outpatient, and emergency department coding rules, National Correct Coding Initiative edits, CPT Assistant coding guidelines, APCs, Official Coding Guidelines and Coding Clinic guidelines.Excellent process knowledge & Domain understanding.Ability to review and interpret complex medical records.Multispecialty proficiency will be an added advantage.Ability to learn new applications/software systems effectively and efficiently.Ability to work independently and make sound decisions.Good verbal and written communication and analytical skills.
Skilled in interpersonal, written, and verbal communication, including email.

Responsibilities:

Floor support and 100% reviews to coders during transitions & Prebill phase to ensure meeting on quality standards.Conducting focused and retro reviews for all assigned coders and FacilitiesRegular audit feedbacks and coding queries resolution.Providing regular updates monthly coding articles, newsletters & hot topics for enhancing coders knowledge & expertiseParticipating in client call and meetings.