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End-to-End Revenue Cycle Management AI Automation
Medical Coding, Multi-Specialty QA Specialist
Location
Illinois
Posted
135 days ago
Salary
$28 - $32 / hour
Seniority
Senior
Job Description
Medical Coding, Multi-Specialty QA Specialist
Jorie AI
• Responsible for the quality assurance of our internal coding team and performs quality audits to ensure compliance with coding guidelines. • Leverages extensive knowledge of federal, state, and payer-specific regulations and policies to audit coded charts. • Provide coding, financial and/or operational reports, and provide feedback to improve documentation to maximize revenue and reduce denials. • Performs audits of the coding team, providing feedback and education based on results. • Develops overall educational materials based on common trends identified during the audit process. • Conducts internal coding audits and analysis of issues holding up accounts and follows guidelines. • Identifies areas of utilization improvements and monitors expected outcomes. • Identifies recurring problems and procedural deficiencies and provides solutions to eliminate them. • Research and update new and/or revised coding and compliance standards. • Performs other related duties as required or requested.
Job Requirements
- High school diploma or equivalency
- AAPC Certified Professional Coder (CPC) certification is required
- Other relevant certifications (CPMA, CEMC) are a plus
- A minimum of 4 years of experience in a multi-specialty physician practice or clinic, coding multiple medical/surgical specialties/subspecialties
- A minimum of 3 years of prior experience translating coding error trending and quality assurance and translating these results into process improvements with minimum supervision required
- Advanced knowledge of ICD10, CPT and HCPCS coding guidelines, payer and governmental policies
- Proficiency in using medical billing software and EHR systems
- Attention to detail with the ability to identify/resolve problems and document the outcome
- Ability to collaborate effectively in a team setting to maximize quality and efficiency of operations
Benefits
- 401(k) matching up to 4%
- Medical
- Dental
- Vision
- Long/Short Term Disability insurance
- Life insurance $25,000 Paid by employer
- PTO 2 weeks
- 10 and half Holidays
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