Facility Coding Quality Assurance Specialist

Change Healthcare in Calhan, CO

  • Type: Full Time
position filled

Transforming the future of healthcare isnt something we take lightly. It takes teams of the best and the brightest, working together to make an impact.

As one of the largest healthcare technology companies in the U.S., we are a catalyst to accelerate the journey toward improved lives and healthier communities.

Here at Change Healthcare, were using our influence to drive positive changes across the industry, and we want motivated and passionate people like you to help us continue to bring new and innovative ideas to life.

If youre ready to embrace your passion and do what you love with a company thats committed to supporting your future, then you belong at Change Healthcare.

Pursue purpose. Champion innovation. Earn trust. Be agile. Include all.

What will I be responsible for in this job? ?

Responsible for assisting the Coding and Education team with reviewing and analyzing Inpatient and Outpatient Facility Coding performed as part of client chart abstraction for designated clients and multiple specialties. Conduct coder QA reviews to ensure compliance with applicable healthcare regulations. Monitor coding trends and provide feedback to Education team for focused sessions to coders and or clients. Position requires strong communication and analytical skills as well as the ability to work independently while still meeting required due dates. Assist with identifying clinical documentation inefficiencies that impact code assignments. The successful candidate must be able to clearly communicate results internally and externally to multiple levels of management (physicians, compliance staff, coders, department administrators, etc).

What are the requirements?

  • Minimum of 5 years of CPT, ICD-10-CM, ICD-10-PCS, and DRG coding and audit experience related to facility billing and compliance.
  • Certification in coding or compliance from a nationally recognized organization--CPC, CCS, CCA or equivalent.
  • CPC, CPC-H, or CCS-P, Compliance Certified
  • What critical skills are needed for you to consider someone for this position?

  • Conduct client and coder coding reviews, report results, escalate trends
  • Identifies provider documentation inefficiencies identified in the course of reviews
  • Communicates documentation inefficiencies for development of provider education through standard reporting.
  • Communicates coding variances related to medical record systems or coding errors
  • Assists Education team in development of coder training sessions
  • What other skills/experience would be helpful to have?

  • Excellent communication and interpersonal skills required.
  • Must be task oriented and have ability to prioritize multiple projects.
  • Ability to analyze data from reports.
  • Billing office experience highly desirable.
  • Knowledge of Microsoft Office Suite including Power Point,Excel and Access.
  • How much should I expect to travel?

  • Remote with potential travel
  • Join our team today where we are creating a better coordinated, increasingly collaborative, and more efficient healthcare system!


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