Northeast Georgia Health System · 2 months ago
Coding Quality Reviewer II - CPC CCS - Surgical Abstract Coding Experience Required - Remote
United States
Full-time
Remote
Mid Level
3+ years expNortheast Georgia Health System is rooted in a foundation of improving the health of our communities. The Coding Quality Reviewer II is responsible for performing quality analysis of coded medical records, documenting the analysis, and reporting quality statistics to management, while ensuring accurate and timely coding of professional services.
AssociationCommunitiesFitnessHealth Care
Responsibilities
Perform timely, concurrent quality review of coded medical records
Correct errors identified in the quality process in both EMR and PMS systems
Maintain coding quality statistics and provide detailed reporting to management
Communicate errors to the Posting, Clinicians and AR staff on an individual basis
Communicate to management any problem areas identified in the quality process and steps taken to resolve
Assist with the review and correction of coding errors in the billing process (TM queues)
Assist with the review and correction of coding errors in the electronic claims process (clearinghouse on-line errors)
Promptly and professionally respond to both verbal and written coding questions from the internal staff and other areas of the company
Review documentation deficiencies for accuracy and communicate identified errors to the coding staff and management
Prepare documentation audits as needed for on-site physician education
Production coding of medical records as per business needs
Adherence to Coding policy and procedures
Review charge slips/cards for completeness (providers are ultimately responsible for codes they assign)
Attends Regional and Local sponsored in-services and/or continuing education
Participates in professional development activities and maintains professional affiliations as necessary
Provide and/or validate CPT, ICD-9-CM and HCPCS coding of professional services for outpatient clinics, outreach offices or programs, minor diagnostic procedures, and/or ancillary services
Review charge tickets for missing or inaccurate information. Items reviewed include service and diagnosis codes units of service, modifiers, facility code, place of service, provider billing numbers, etc
Communicate with providers and clinic staff to ensure charge capture of all professional services, supplies, drugs, vaccinations, etc
Monitor reconciliation procedures to ensure all charges are captured and billed in a timely manner
Research and correct claims manager edits in a timely manner by applying coding and carrier specific guidelines while maintaining compliance initiatives
Provide coding coverage to other specialties, departments, divisions, and/or units as required
Attend billing educational sessions to enhance coding knowledge i.e. American Academy of Professional Coders, Professional Medical Coding Curriculum, NGPG Compliance Proficiency training, specialty seminars
Performs other job duties as assigned
Cross trains in other positions as requested
Qualification
Required
CPC and/or CCS-P Coding Certification required
High School Diploma or GED
Three (3) years experience coding Multi-Specialty records required
Extensive knowledge of ICD-9, CPT, HCPCS coding, medical terminology, federal and state regulatory guidelines and third party payor requirements required
Accuracy and attention to detail imperative
Ability to interact well with others at all levels with a flexible, energetic, proactive and positive style
In-depth knowledge of Optimal coding policy and procedures
Highly skilled proficient with Microsoft Office products
Ability to communicate (both verbally and written) technical coding information to both technical and non-technical audiences
Ability to organize data and provide detailed reporting
Ability to prepare presentations and present to large or small audiences
Must be highly motivated, detail oriented individual
Excellent written and oral communication skills
Problem solving and analytical skills
Ability to be a self starter/work independently and as a team player
Ability to travel to NGHS/NGPG sites as needed
Company
Northeast Georgia Health System
Northeast Georgia Health System prides itself on core values, which help us achieve our mission of improving the health of our community.
10001+ employees
H1B Sponsorship
Northeast Georgia Health System has a track record of offering H1B sponsorships. Please note that this does not
guarantee sponsorship for this specific role. Below presents additional info for your
reference. (Data Powered by US Department of Labor)
Distribution of Different Job Fields Receiving Sponsorship
Represents job field similar to this job
Trends of Total Sponsorships
2023 (2)
2022 (1)
Funding
Current Stage
Late StageLeadership Team
C
Carol Burrell
President and CEO
Recent News
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2025-12-11
2025-08-21
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