QA Coding Specialist - HIMS OP Coding jobs in United States
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Kettering Health · 3 weeks ago

QA Coding Specialist - HIMS OP Coding

Kettering Health is a not-for-profit system of 13 medical centers and more than 120 outpatient facilities serving southwest Ohio. The Quality Assurance Specialist is responsible for educating and training coding staff, ensuring accurate coding for billing, and conducting audits to maintain compliance with medical coding guidelines.

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Responsibilities

Educating and training coding staff on the proper application of medical coding guidelines
Ensuring that coding staff accurately translate patient medical records into standardized codes (ICD-10-CM and CPT) for billing and reimbursement purposes
Conducting audits of medical record coding to ensure compliance with established guidelines and providing results to relevant stakeholders
Administering educational activities based on both internal and external audit findings to promote adherence to state/federal laws and regulatory requirements

Qualification

ICD-10-CM codingCPT codingEpic EMRSolventum CRSCAC systemsMedical terminologyAnatomyPhysiologyRegulatory guidelinesMicrosoft Office SuiteCommunication skillsLeadership experience

Required

High school diploma or equivalent
Minimum three years' experience coding in acute care hospital required
RHIT, RHIA, or CCS required
Proficient in data entry using Microsoft Office Suite products
Skilled in Solventum CRS and CAC systems for coding and documentation
Experienced with Epic EMR, navigating electronic medical records with ease
Strong written and verbal communication skills, facilitating clear and concise information exchange
Thorough application of medical terminology successfully translated into codeable language
Solid understanding of anatomy and physiology, with expertise in associating disease processes with corresponding codes
In-depth knowledge of regulatory and governing body coding and billing guidelines

Preferred

Preferred associate degree in healthcare related field
Two years of supervisory / leadership experience preferred
Preferred member of AHIMA and/or AAPC Professional Associations

Company

Kettering Health

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Kettering Health is a healthcare company that provides faith-based community care to patients.

Funding

Current Stage
Late Stage
Total Funding
$1.39M
Key Investors
SAMHSAParkinson's Foundation
2024-10-11Grant· $1.39M
2023-07-25Grant

Leadership Team

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Fred Manchur
Chief Executive Officer
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Clifton Patten
CFO
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Company data provided by crunchbase