Home > Medical Coding Jobs > Texas > Client Quality Specialist (ED/OBS w/ Injections & Infusions) - REMOTE - SIGN-ON BONUS! Job in Plano

Client Quality Specialist (ED/OBS w/ Injections & Infusions) - REMOTE - SIGN-ON BONUS! Job in Plano, Texas

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Job Title: Client Quality Specialist (ED/OBS w/ Injections & Infusions) - REMOTE - SIGN-ON BONUS!

Job Location:Remote
Specialties:ED, OBS, I/I
Required Certifications:CPC
Preferred Certifications:CPMA
Required Experience:1 to 2 years
Preferred Experience:3 to 4 years
Location: Plano 75024, TX, US
* Note: This listing is for a remote position
Date Posted:8/27/2021
  • Performs complex retrospective analysis of medical record documentation to identify coding and billing errors and inconsistencies according to guidelines of the AHA, CMS, AMA, Clinic Coding Clinic and CPT Assistant.
  • Analyzes audit findings to identify potential root causes of coding errors and prevent their reoccurrence
  • Provides second –level review of diagnosis, procedure and billing codes to ensure compliance with legal and procedural policies that ensure optimal reimbursements while adhering to regulations prohibiting unbundling and other questionable practices.
  • Research, analyze and respond to inquiries regarding compliance, inappropriate coding, denials and billable services
  • Provides technical support and feedback training to internal coding staff regarding coding compliance, documentation, regulatory provisions, third part payer requirements, medical necessity requirements
  • Protects the privacy and confidentiality of patient health and client information. Follows the Standards of Ethical Coding as set forth by AHIMA and adheres to official coding guidelines and compliance practices.
  • Suggests physician query opportunities query Physicians based upon documentation and clinical needs.
  • Prepare deliverables for the coders as required
  • Report work time and work productions in a timely and accurate manner
  • Communicates with coworkers in an open and respectful a manner which promotes teamwork and knowledge sharing.
  • Provide schedule of planned work activities, events and sites, and any changes to same to management and appropriate staff.
  • Maintenance of professional coding credentials and knowledge of coding, reimbursement methodologies and compliance issues through education
  • Other duties and responsibilities as assigned


Essential Functions:

Note: The essential duties and primary accountabilities below are intended to describe the general content of and requirements of this position and are not intended to be an exhaustive statement of duties. Incumbents may perform all or most of the primary accountabilities listed below. Specific tasks, responsibilities or competencies may be documented in the incumbent’s performance objectives as outlined by the incumbent’s immediate supervisor or manager.


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