CHRISTUS Health · 20 hours ago
Coding Quality Specialist I - Coding
United States
Full-time
Remote
Senior Level
5+ years expCHRISTUS Health is seeking a Coding Quality Specialist to perform internal coding reviews to support the business needs of the Coding Operations Department. This role involves contributing to coding education and training, ensuring accuracy in coding practices, and collaborating with various departments to enhance coder knowledge and skills.
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, education and training feedback to coding staff that may 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 education workplan 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 the Manager
Qualification
Required
High school diploma or equivalent years of experience required
At Least One Of The Following Certifications Are Required: Registered Health Information Administrator (RHIA) (AHIMA), Registered Health Information Technician (RHIT) (AHIMA), Certified Coding Specialist (CCS) (AHIMA), Certified Outpatient Coder (COC) (AAPC), Certified Professional Coder (CPC) (AAPC)
Preferred
Completion of accredited Baccalaureate Health Informatics or Health Information Management or an AHIMA approved Coding Certificate Program
Five (5) or more years of Inpatient and/or Outpatient HB coding experience in an acute care setting
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 (43)
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
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