Quality Assurance Specialist

Found in: beBee S US - 2 weeks ago


Des Moines, United States Accuity Full time
  • The Quality Assurance (QA) Specialist is responsible for performance of internal coding QA reviews.
  • Maintains an up-to-date working knowledge of MS-DRG, APR-DRG, ICD-10 CM/PCS coding
  • Health information management and/or coding credential from AHIMA and/or AAPC required (RHIA, RHIT, CCS, and/or CIC)
  • CCDS or CDIP certification preferred
  • Clinical license preferred (e.g., LPN, RN, BSN, NP, PA, MD, DO, allied health)
  • Expert knowledge of Official Coding Guidelines, advanced knowledge of APR and MS DRG reimbursement models, state, and federal regulations
  • Knowledge of AHRQ Quality Metrics including patient safety indicators (PSIs), Hospital Acquired Conditions (HACs), Vizient Mortality Models, CMS Core Measures, other national patient safety quality indicators, and different payor categories
  • Solid command of anatomy, physiology, pathology, laboratory, imaging, pharmacology, disease assessment, patient management, and treatment

  • Quality Assurance Specialist

    Found in: beBee jobs US - 3 weeks ago


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