Overview
US Anesthesia Partners is seeking a Coding QA Specialist to join our team, remotely. The Coding QA Specialist- Anesthesia will support our QA process and Coder and Provider education. Responsibilities include the reviewing of professional coding accuracy and quality and educational feedback to coders and providers. Provide Clinical Documentation review and provider education to support correct coding and regulatory compliance. The position requires anesthesia, surgical coding and regulatory knowledge, analytical skills as well as the ability to work independently while meeting required due dates. Preferred skills: excellent presentations skills, creating and delivering curriculum in an interactive educational platform experience ie LMS.
Job Highlights
CODER EDUCATION
- Conduct Coder QA and Education as part of identified remediation
- Collaborate with Management on development of individual or group performance improvement plans related to billing compliance or coding issues
- Develop or review internal workflow or pathway directives that impact coding and charge capture including system edits
- Conduct coder Pre-production QA and education
SUPPORT PROVIDER EDUCATION
- Documentation review and prepare for educator feedback sessions
- Documentation template improvements
- Assist in Review for coding and regulatory updates
TRAINING & CURRICULUM Development and delivery of coding educational materials and training for use both internal and external to the department, including physicians live and remote methods.
- Maintain operational workflow pathways and assist coding leads as needed
- Maintain Coding resources shared library
Other Duties
- Utilizes knowledge of revenue cycle and analyzes coding data to assist with QA selection process
- Assists in reviews of Coding related edits and claim denials
- Creates tracking and trending reports associated to the initiatives.
Qualifications
JOB REQUIREMENTS (Knowledge, Skills and Abilities):
- Assist in supporting teams with analysis and review of documentation for new business
- Maintains confidentiality of sensitive information concerning patients, physicians, employees, clients, vendors, and the
- Ensure compliance with all State, Federal, professional regulations as well as department rules, policies, and procedural
- Adherence to Safety
- Adherence to HIPAA
- Maintain specialty certification CEU’s, coding updates and all regulatory or payer guidance
- Ability to communicate professionally with all levels of management
- Excellent written and oral communication skills are necessary to produce and deliver quality training
- Excellent technical writing skills for development, implementation, and maintenance of documentation
EDUCATION/TRAINING/EXPERIENCE:
- National coding certification (AHIMA, AAPC)
- Compliance auditing and Specialty Coding Education experience
- Clinical certification or experience preferred
- National Certification and Minimum of five years’ Experience in physician coding, Anesthesia/Pain Management, Surgery and E/M, ICD-10, with experience in Academic settings
- Proficient in MS Office Excel, Word and Power Point
- Experience in Revenue Cycle and Claim processing
- Experience in Physician Billing Compliance preferred
- Demonstrated superior presentation skills
- Experience managing multiple simultaneous clients or projects with a high level of attention to detail
National position, Remote, future travel may be required (10%).
US Anesthesia Partners, Inc. provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, sex, gender identity, sexual orientation, pregnancy, status as a parent, national origin, age, disability (physical or mental), family medical history or genetic information, political affiliation, military service, or other non-merit based factors.
