Coding Quality Reviewer Specialist jobs in United States
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Compu-Vision Consulting Inc. · 1 month ago

Coding Quality Reviewer Specialist

Compu-Vision Consulting Inc. is an industry leader in revenue cycle services, partnering with numerous hospitals and physician practices. The Coding Quality Reviewer Specialist will perform internal quality assessments on coding staff to ensure compliance with national coding guidelines and policies, ultimately ensuring accurate coding and data integrity.

ConsultingInformation TechnologyOutsourcingSoftware
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Growth Opportunities
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H1B Sponsor Likelynote

Responsibilities

Lead, coordinate and perform all functions of quality reviews (routine, pre-bill, policy driven and incentive plan driven)for inpatient and outpatient coding across multiple HSCs
Assist in ensuring HSC coding staff adherence with coding guidelines and policy
Demonstrate and apply expert level knowledge of medical coding practices and concepts
Participate on special reviews or projects
Maintain or exceed 95% productivity standards
Maintain or exceed 95% accuracy
Meet all educational requirements as stated in current Company policy
Review all official data quality standards, coding guidelines, Company policies and procedures, and clinical/medical resources to assure coding knowledge and skills remain current

Qualification

CCSRHIARHITMS-DRG auditingMedical codingHIM/HIT degreeInpatient codingOutpatient codingQuality assessmentAttention to detailCommunication skills

Required

CCS, RHIA, RHIT and/or mandatory
IP Coding Auditor for MS-DRG
Must have experience in all body systems – cannot be specialized in one area i.e., Orthopedic etc
Must have 3 years of hands on coding MS-DRG auditing in a hospital setting
Cannot be a recent graduate needs experience ideally 10+ years of coding and 3 years of auditing in MS-DRG Inpatient medical records
Hospital exp is a must.. inpatient + outpatient + audit is mandate

Preferred

Undergraduate degree in HIM/HIT preferred (Associate's or Bachelor's)

Company

Compu-Vision Consulting Inc.

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Compu-Vision Consulting Inc. is a dynamic IT consulting enterprise.

H1B Sponsorship

Compu-Vision Consulting Inc. 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
2024 (2)
2022 (1)
2021 (9)
2020 (12)

Funding

Current Stage
Growth Stage
Company data provided by crunchbase