Lead Inpatient Quality Specialist

4 weeks ago


Pennsylvania, United States CorroHealth Full time
Job Summary

CorroHealth is seeking a skilled Lead Inpatient Quality Specialist to join our team. As a key member of our quality team, you will be responsible for ensuring the highest level of quality and accuracy in our coding and billing processes.

Key Responsibilities
  • Perform complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies.
  • Analyze audit findings to identify potential root causes of coding errors and prevent their reoccurrence.
  • Provide second-level review of diagnosis, procedure, and billing codes to ensure compliance with legal and procedural policies.
  • Research, analyze, and respond to inquiries regarding compliance, inappropriate coding, denials, and billable services.
  • Provide technical support and feedback training to internal coding staff regarding coding compliance, documentation, regulatory provisions, third-party payer requirements, and medical necessity requirements.
Requirements
  • Recognized coding credential from AHIMA or AAPC.
  • Experience with telecommuting and electronic medical records systems strongly preferred.
  • Ability to prioritize workload, meet deadlines, and maintain a high level of quality and accuracy.
  • Strong communication skills, proficient in Microsoft Office applications including Word and Excel.
What We Offer

CorroHealth offers a dynamic and supportive work environment, competitive compensation, and opportunities for professional growth and development.



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