What are the responsibilities and job description for the Coding Quality review Specialist - 100% Remote role position at Patterns india?
Job Title - Coding Quality review Specialist
Location - 100% Remote
Duration - Fulltime Permanent
Job Summary :
As a Coding Quality Review (CQR) Specialist, you will operate in a work from home environment supporting all CQR team related systems and tools. You will perform internal quality assessment reviews on Health Information Management Service Center(HSC) coders to ensure compliance with national coding guidelines, the HSC coding policies and the Company coding policies for complete, accurate and consistent coding which result in appropriate reimbursement and data integrity.
Job Responsibilities :
Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs
Assist in ensuring HSC coding staff adherence with coding guidelines and policy
Demonstrate and apply expert level knowledge of medical coding practices and concepts
Participate on special reviews or projects
Maintain or exceed 95% productivity standards
Maintain or exceed 95% accuracy
Meet all educational requirements as stated in current Company policy
Review all official data quality standards, coding guidelines, Company policies and procedures, and clinical / medical resources to assure coding knowledge and skills remain current
Qualifications :
Undergraduate degree in HIM / HIT preferred (Associate's or Bachelor's)
RHIA, RHIT and / or mandatory
IP Coding Auditor for MS-DRG
Must have experience in all body systems cannot be specialized in one area i.e., Orthopedic etc.
Must have 3 years of hands on coding MS-DRG auditing in a hospital setting.
Cannot be a recent graduate needs experience ideally 10 years of coding and 3 years of auditing in MS-DRG Inpatient medical records.
