07/15/2022
We are seeking seeking 4 Clinical Application QA Trainers
**apply directly on our job board:
http://tunabear.com/job-board/?rpid=bbWe8fBjFdU **
100% REMOTE or Hybrid accepted
Contract-to-Hire or Direct Hire
H1B NOT ACCEPTED.
Background:
Our direct Higher Ed Health Center client is seeking 4 Clinical Application QA Trainers, who Under the general supervision of the Supervisor, will be responsible for complex analysis and development of auditing and assessment processes associated with the Centralized Coding Unit. The client offers exceptional employment benefits including medical, dental, and vision plans, generous paid vacations and holidays, excellent retirement savings and investment plans, continuing education, and reduced fee and scholarship programs.
Responsibilities:
- Under the general supervision of the Supervisor, the incumbent is responsible for complex analysis and development of auditing and assessment processes associated with the Centralized Coding Unit.
- This position requires high level technical and analytical skills and plays a key role in assisting management team with implementing and enforcing University policy with the goal of minimizing risks associated with hospital and professional billing as one method of preventing and detecting inappropriate, improper, and fraudulent conduct.
The incumbent provides analytical support for the development and implementation of procedures regarding billing and coding policies and practices for the Centralized Coding Unit abstractors.
- The incumbent will aid in developing training for coding staff, physicians/other healthcare providers, and department leadership.
- THIS POSITION REQUIRES A COMPREHENSIVE KNOWLEDGE OF MEDI-CAL, MEDICARE AND OTHER THIRD-PARTY PAYOR PROGRAM REQUIREMENTS, BILLING CODES, DIAGNOSIS CODES AND MEDICAL TERMINOLOGY.
- Knowledge of major health care trends and issues that affect hospitals and academic health centers.
Required Qualifications
- Applicants are encouraged to upload license and certification if required of the position.
!!!!! AAPC CPC, AHIMA CCS, AHIMA CCS-P or CPMA required !!!!!
- Bachelor’s degree in a related field and/or a combination of experience, education and/or training required.
- Several years of previous experience serving in a similar capacity, in a healthcare environment highly preferred.
- Experience with coding and/or auditing in a Healthcare environment for hospital and/or professional fee services for multi-specialty departments.
- Experience with and knowledge of instructional notations and conventions of ICD-10-CM, CPT, HCPCS classification systems;
- Knowledge of and ability to interpret federal, and state laws, regulations, directives and other relevant resources to effectively apply requirements to billing, documentation, privacy and security requirements.
- Knowledge of CMS legislation in relationship to Medicare coding and documentation compliance, National Correct Coding Initiative, Outpatient Code Editor and Fraud and Abuse Issues and OIG Scope of Work.
- Knowledge and understanding of University policies and procedures
Experience with Epic application and different modules
- Experience in the design for report formats, extraction of data, and development of financial and statistical reports.
- Proficient in office automation software (word processing, spreadsheets, visual presentation such as MS Project, Excel, Visio, etc).
- Comprehensive knowledge of medical, diagnostic, and procedural terminology with an advanced understanding of disease processes and anatomy and physiology.
- Academic institution or large integrated health system experience preferred.
Must be able to work extended hours and/or flexible hours as needed to meet department project demands and/or department goals.
Preferred Qualifications
- Previous coding and auditing experience highly preferred
Special Requirements
>>> AAPC CPC, AHIMA CCS, AHIMA CCS-P or CPMA required
