Coding Quality Analyst - Remote | WFH - #178267
Get It Recruit - Healthcare
Date: 1 week ago
City: Dallas, TX
Contract type: Full time
Remote
We are seeking a meticulous and dedicated Behavioral Health Coding Quality Analyst to join our team. In this role, you will play a vital part in ensuring the accuracy and integrity of our administrative processes, particularly focusing on identifying and addressing instances of fraud, waste, and abuse. Your responsibilities will encompass coding and auditing services, where you'll analyze, document, explain, and translate medical and behavioral diagnoses and procedures.
Key Responsibilities
Conduct thorough reviews of records flagged for suspicion of fraudulent activities, adhering to current coding guidelines and standards.
Document decisions and findings clearly, maintaining detailed records within our systems.
Effectively communicate decisions to relevant internal and external stakeholders.
Collaborate with team members to identify emerging trends and patterns in billing issues and coding practices.
Qualifications
High School Diploma / GED
Minimum of 3 years of experience in CPT medical coding and auditing
Certification as a Coder by AHIMA (CCS, CCS-P, or RHIT) or AAPC (CPC)
Must be at least 18 years old
Availability for full-time work and training during specified hours
Preferred Qualifications
Previous experience in Behavioral Health coding
Familiarity with fraud, waste, abuse, and error detection
Knowledge of CMS 1500 and UB04 data elements
Experience with Encoder Pro software
Soft Skills
Excellent oral and written communication skills
Strong organizational and time management abilities
Capacity to work independently or collaboratively in a team environment
Ability to manage multiple priorities while meeting production standards
Telecommuting Requirements
Secure handling of company-sensitive documents
Dedicated workspace with privacy provisions
Access to high-speed internet meeting company standards
Compensation And Benefits
Competitive hourly wage, varying based on factors such as location and qualifications
Comprehensive benefits package including healthcare, retirement plans, and more
Opportunities for professional development and advancement within the company
Application Deadline: This posting will remain open for a minimum of 2 business days or until a suitable candidate pool is established. Early closure may occur due to high applicant volume.
About Us
At our company, we are committed to promoting diversity and inclusivity in the workplace. We strive to create a culture where individuals from all backgrounds have equal opportunities to thrive. Our mission is to improve healthcare access and outcomes for everyone, regardless of race, gender, age, or socioeconomic status.
Equal Opportunity Employer
We are an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability status, sexual orientation, gender identity, or any other characteristic protected by law.
Employment Type: Full-Time
Key Responsibilities
Conduct thorough reviews of records flagged for suspicion of fraudulent activities, adhering to current coding guidelines and standards.
Document decisions and findings clearly, maintaining detailed records within our systems.
Effectively communicate decisions to relevant internal and external stakeholders.
Collaborate with team members to identify emerging trends and patterns in billing issues and coding practices.
Qualifications
High School Diploma / GED
Minimum of 3 years of experience in CPT medical coding and auditing
Certification as a Coder by AHIMA (CCS, CCS-P, or RHIT) or AAPC (CPC)
Must be at least 18 years old
Availability for full-time work and training during specified hours
Preferred Qualifications
Previous experience in Behavioral Health coding
Familiarity with fraud, waste, abuse, and error detection
Knowledge of CMS 1500 and UB04 data elements
Experience with Encoder Pro software
Soft Skills
Excellent oral and written communication skills
Strong organizational and time management abilities
Capacity to work independently or collaboratively in a team environment
Ability to manage multiple priorities while meeting production standards
Telecommuting Requirements
Secure handling of company-sensitive documents
Dedicated workspace with privacy provisions
Access to high-speed internet meeting company standards
Compensation And Benefits
Competitive hourly wage, varying based on factors such as location and qualifications
Comprehensive benefits package including healthcare, retirement plans, and more
Opportunities for professional development and advancement within the company
Application Deadline: This posting will remain open for a minimum of 2 business days or until a suitable candidate pool is established. Early closure may occur due to high applicant volume.
About Us
At our company, we are committed to promoting diversity and inclusivity in the workplace. We strive to create a culture where individuals from all backgrounds have equal opportunities to thrive. Our mission is to improve healthcare access and outcomes for everyone, regardless of race, gender, age, or socioeconomic status.
Equal Opportunity Employer
We are an Equal Employment Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national origin, disability status, sexual orientation, gender identity, or any other characteristic protected by law.
Employment Type: Full-Time
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