What are the responsibilities and job description for the Quality Assurance Auditor (remote) position at GeBBS Healthcare Solutions?
Description
- Inspect medical coding documents for errors and process any appropriate corrections.
- Leverage extensive knowledge of federal, state, and payer-specific regulations and policies pertaining to documentation, coding and billing to audit client charts and billing
- Analyze and identify opportunities for documentation improvement and prepare reports, presentations and recommendations based on the analysis
- Keep up to date with changes in coding standards and participate in educational opportunities to improve job performance.
- Perform other duties as assigned
- Coding certifications (AAPC or AHIMA), (CPC, CCS-P, RHIA, RHIT) required.?
- Minimum of 3 years’ preparing professional coding audits
- Strong knowledge of coding disciplines; Professional Coding & Audit and Professional Provider Education
- Extensive knowledge of medical terminology, medical billing and payment methodologies, including coding guidelines for ICD-10, CPT, HCPC, E/M, etc.
- Comprehensive knowledge of procedure and diagnostic coding for professional services and Medicare, Medicaid and other 3rd party payer coding and billing regulations
- Demonstrated knowledge of 1995 and 1997 Evaluation and Management Documentation guidelines and other professional documentation requirements.?
- Able to yield high quality coding audits via a manual coding audit process or technology enhanced audit tool
- Knowledge of quality metrics and commitment to enforcement of standards
- Cross functional expertise with the ability to work independently in a fast-paced environment?
- Excellent verbal, written, and interpersonal communication skills?
- Strong computer skills including MS Office (e.g., Excel and Word)?
