Inpatient Coding Quality Analyst - Impactful Medical Coding

Joinourdynamicteamandmakeameaningfulimpactinthehealthcareindustry. You'llplayapivotalroleinensuringaccurateclaimsprocessingwhileadvancingyourcareerinasupportiveandinnovativeenvironment. Enjoycompetitivebenefitsuponhire,ongoingprofessionaldevelopment,andthesatisfactionofhelpingotherseveryday. Takethenextstepinyourcareerwith Med-Metrix!Experiencetheseexceptionalbenefitswhenyoujoin Med-Metrix!8-Hour Shifts, Fixed Weekends Off Day1 HMOwith2ofyourdependentscoveredfor FREEGroup Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Free Lunch Daily Paid Time Off Trainingand Staff Development Employee Engagement Activities Opportunitiesfor Internal Mobility

Job Purpose

The Quality Analyst, Inpatient Coding collaborateswithinternalstaffinthedevelopmentofimprovedcapabilitiesintheareasofdocumentation,coding,andcompliance. The Quality Analyst, Codingwillassessandreviewtheoverallqualityofcodingonaccountscompletedby Medical Coders. The Quality Analyst, Coding,ensuresadherencetoworkflowsandethicalcoding. Thepositionrequiresadvancedknowledgeofprofessionalcoding(CPT, ICD-10-CMand HCPCS). The Quality Analyst, Inpatient Coding isresponsiblefordesigningandimplementingqualitycodingreviewprogramsandcommunicatingreviewfindingsandrecommendationstocodingmanagement. Thepositionobtainsstatisticsandtheinformationnecessarytoassessriskforallareasofcoding.

Duties and Responsibilities

Setsteamdirection,resolvesproblemsandprovidesguidancetomembersofownteam

Lead,coach,recognizeanddevelopateamof Employeesinallaspectsofthejobtomeetobjectivesandmaintaincompanyculture,polices,goalsandprocedures

Administerthe Quality Assessmentprocesstoensureallqualitystandards/targetscanbemet

Dailymanagementofalloperationalprocessestoensurethatquality,efficiencyandproductivitystandards/targetsaremet

Actsasclientcontactforday-to-dayoperationalissuesandstaffassignments. Escalateanyclientconcernsimmediatelyto Medical Coding Manageror General Manager.

Reviewandanalyzereports,records,anddatatomeetandexceedclientandcompanyobjectives.

Collaboratewithallworkgroupstoresolveissuesthatimpactinternalandexternalcustomers.

Rewardinganddiscipliningemployees;addressingcomplaintsandresolvingproblems

Lookconstantlyfordevelopmentaswellascontinuousimprovementfortheentireteam.

Ensurethattheemployeesfollowtheirschedulesproperlyasdesigned

Strivefornewwaystoincreasetheopportunitiesofefficient,accurateworkassignments

Handlecomplaints,questions,andqueriesasnecessary

Documentinggeneralreportsoneachteammember'sperformanceandtargetsaswellasensuringthattheyexceedthetargets

Monitorsystemstoensureoptimalperformance

Disseminateschangesinguidelinesandrules;monitorchangesinlaws,regulations,andpoliciesthatimpactclinicaldocumentation,reimbursementtoassurecompliance

Fosteranenvironmentofteamworkandserviceexcellencewithinthedepartment

Participateinperformanceimprovementactivities

Assistintheestablishmentof,implementationandmaintenanceofaformalizedreviewprocesstoensurecompliancewithcontractualagreementsregardingaccuracyrates

Assistinthecreation,monitoringandstandardizationofcompanypoliciesandprocedurestomonitorthesuccessofthedataqualitymanagementplan,reviewourandourclientsareasofrisk,investigateidentifiedissues,reportdataanalysesandtakeappropriatestepstocorrectanyviolations. Makerecommendationstoensurethehighestcomplianceratewith the Med-Metrixqualitymanagementplan

Participateinconferencecalls/meetingswithmanagementandstafftoensureallperformanceandtrainingrecommendationsareaddressedandimprovementsuggestionsareimplemented

Assistinnewhiretrainingclasses,transitionperiodsandrefreshertrainingsasneeded

Knowledgeof,understandingof,andcompliancewithall Med-Metrixpoliciesandprocedures

Providefeedbacktomanagementconcerningpossibleproblemsorareasofneededimprovement

Use,protectanddisclosepatients'protectedhealthinformation(PHI)onlyinaccordancewith Health Insurance Portabilityand Accountability Act(HIPAA)standards

Qualifications

Graduateofany Medicalor Allied Medicalcourseorhasequivalentworkexperience

Hold AAPCand/or AHIMAcertification. CPMAisanadvantage

Atleast3yearsof IPDRGCoding

Proficientwith E/Mand CPTProcedurecoding

Abilitytoworkinateamfosteredenvironmentandhavethewillingnesstoadjusttochangingjobresponsibilities,shiftingschedules,newproceduresandunexpectedworkloadsandstresses

Possessstrongverbal,writtencommunication,interpersonalskillsandanalyticalskills

Willingnessandflexibilitytoworkextendedhours

Assertiveself-starterwhocanworkindependently,yetfunctioninateamenvironment

Abilitytoplanwellandprioritizeworkandmaintaincalmnessunderpressure

Anunderstandingandstrictadherencetoall HIPAAregulations

Minimum of six (6) months experience with exceptional performance in chosen area of quality management Medical Coding - demonstrated HIPAA knowledge required

Abilitytoworkinateamfosteredenvironmentandhavethewillingnesstoadjusttochangingjobresponsibilities,shiftingschedules,newproceduresandunexpectedworkloadsandstresses

Working Conditions

Work Set-Up: Work From Home

Work Schedule: Dayshift

Physical Demands: Whileperformingthedutiesofthisjob,theemployeeisoccasionallyrequiredtomovearoundtheworkarea; Sit;performmanualtasks;operatetoolsandotherofficeequipmentsuchascomputer,computerperipheralsandtelephones;extendarms;kneel;talkandhear

Mental Demands: Theemployeemustbeabletofollowdirections,collaboratewithothers,andhandlestress

Work Environment: Thenoiselevelintheworkenvironmentisusuallyminimal

Med-Metrixwillnotdiscriminateagainstanyemployeeorapplicantforemploymentbecauseofrace,color,religion,sex(includingpregnancy,genderidentity,andsexualorientation),parentalstatus,nationalorigin,age,disability,geneticinformation(includingfamilymedicalhistory),politicalaffiliation,veteranstatus,othernon-meritbasedfactors,oranyothercharacteristicprotectedbyfederal,stateorlocallaw