Quality Assurance Analyst

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This job has been Expired
National Coalition of Healthcare Recruiters
Job Overview

(Only QUALIFIED Healthcare Professionals accepted)
NATION-WIDE REMOTE Quality Assurance Auditor

Fully REMOTE – work from Home.

Come join one of the leading health systems in the country from your home office. There is an immediate need for Inpatient Auditors and Coding Quality Specialists! We are offering an extremely competitive range in order to attract top talent quickly around ICD-10. This is a full-time, permanent position

Don’t miss this opportunity!

Call David at 513-206-9881 and send your resume into consideration: dlutz@acuitymri.com

Primary Purpose:

Responsible for completing coding accuracy reviews to assist the coding leadership in carrying out the department’s compliance plan.

Major Responsibilities:

Reviews coded health information records to evaluate the quality of staff coding and abstracting, and verifies accuracy and appropriateness of assigned codes and discharge disposition.

Reviews charts to insure accurate coding for inpatient, outpatient and day surgery records. Verifies all codes and sequencing for claims according to American Hospital Association (AHA) coding guidelines, CPT Assistant, AHA Coding Clinic and national and local coverage decisions.

Assesses claims for appropriate case mix including severity and risk of mortality to identify trends or areas for focused reviews.

Works collaboratively with the coding leadership and the compliance department to identify focused and random DRGs for review and OIG work plan for retrospective reviews and clinical documentation improvement.

Works collaboratively with the coding leadership to identify focused prospective records that need to be reviewed.

Reviews hospital acquired conditions (HACs), complications and other identified records such as core measures or trends as identified by coding leadership prospectively.

Reviews abstracted data such as discharge disposition for accuracy.

Creates tracking and trending reports and presents reports in quality, RAC and case management meetings as needed.

Identifies any coding issues as they relate to coding practices. Clarifies changes in coding guidelines or educational materials.

Communicates with coding leader to assure compliance in all areas of coding.

Licensure, Registration and/or Certification Required:

Health Information Technician (RHIT) registration issued by the American Health Information Management Association (AHIMA), or

Health Information Administrator (RHIA) registration issued by the American Health Information Management Association (AHIMA), or

Coding Specialist (CCS) certification issued by the American Health Information Management Association (AHIMA).

Association (AHIMA)


Email Resumes to: dlutz@acuitymri.com

Job Detail
  • Job IDnchcr-1927859
  • StreetN/A
  • StateWisconsin
  • Postal CodeN/A
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