CHRISTUS Health ยท 7 hours ago
Coding Quality Specialist I - Coding
United States
Full-time
Remote
Senior Level
5+ years expCHRISTUS Health is a healthcare organization seeking a Coding Quality Specialist to support their Coding Operations Department. This role involves performing internal coding reviews, contributing to coding education, and ensuring compliance with coding guidelines while maintaining a high accuracy rate.
Hospital & Health Care
Responsibilities
Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders
Facilitate and complete inpatient and outpatient coding reviews
Communicates findings both verbally and in writing in an approved, appropriate format to support training and education such as would be reported in Coding Roundtables or Section Meetings
Assist with development and coordination of review plans, feedback to coding staff and management to include query opportunities, documentation opportunities, accurate code assignment (ICD, CPT, HCPCS), accurate payment groupings (DRG, APC), accurate modifier assignment, accurate POA assignment, accurate discharge disposition assignment, compliance and data management
Assist with chart sample selection for reviews and randomization to be coordinated with Coding Managers
Assist with finalizing an annual work plan for targeted chart reviews and pre-bill reviews
Work collaboratively with Coding Integrity Department to recommend and assist with content and examples that may be used to develop Job Aides, Coding Best Practice references and other assisting resources to support and advance coder knowledge and expertise. Reviews results and performs trend analyses to identify patterns and variations in coding practices and/or case-mix index which require education
Meets or exceeds an accuracy rate of 95%
Ensure coding reviews are appropriate and effective. Assesses effectiveness through associate evaluations
Has strong written and verbal communication skills
Able to work independently in a remote setting, with minimal supervision
All other work duties as assigned by Manager
Qualification
Required
High school diploma or equivalent years of experience required
Registered Health Information Administrator (RHIA) (AHIMA) required
Registered Health Information Technician (RHIT) (AHIMA) required
Certified Coding Specialist (CCS) (AHIMA) required
Five (5) or more years of Inpatient and/or Outpatient HB coding experience in an acute care setting preferred
Demonstrates high caliber specialty knowledge and understanding of current ICD-10-CM, ICD-10-PCS and/or CPT/HCPCS coding guidelines and practices in both the inpatient and outpatient care settings, maintaining a 95% accuracy rate
Meets or exceeds an accuracy rate of 95%
Has strong written and verbal communication skills
Able to work independently in a remote setting, with minimal supervision
Preferred
Completion of accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program, preferred
Five (5) or more years of Inpatient and/or Outpatient HB coding experience in an acute care setting preferred
Company
CHRISTUS Health
CHRISTUS Health is a Catholic not-for-profit health care system comprising more than 600 centers, including long-term care facilities, community hospitals, walk-in clinics and health ministries.
10001+ employees
H1B Sponsorship
CHRISTUS Health 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
2025 (36)
2024 (35)
2023 (54)
2022 (46)
2021 (22)
2020 (26)
Funding
Current Stage
Late StageLeadership Team
Terry Kyle
CEO and CDO The Children's Hospital of San Antonio Foundation & Friends of CHRISTUS Santa Rosa Fnd
Thomas Royer, MD
CEO Emeritus
Company data provided by crunchbase