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Quality Analyst III - DRG Coding Job in Jacksonville, Florida

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Job Title: Quality Analyst III - DRG Coding

Employer:SCIO Health Analytics/EXL
Skills:DRG,ICD diagnosis/procedure codes,CPT,HCPCS
Specialties:DRG Coding
Required Certifications:RHIT or RHIA
Preferred Certifications:CCS or CPC
Required Experience:5 to 7 years
Preferred Experience:5 to 7 years
Location:12276 San Jose Blvd, Suite 410 Jacksonville 32223, FL, US
Date Posted:12/27/2018

SCIO Health Analytics, an EXL company, is looking for an experienced Quality Analyst III - DRG Coding. This is a home office opportunity.

Job Summary:
The Quality Analyst III oversees work performed by the DRG auditors to ensure that SCIO’s standard of accuracy is met. The analyst undertakes a quality review of random and targeted coding audits to enhance the accuracy and completeness of audits performed. Additionally, the analyst develops audit feedback sessions to all staff from routine internal audit, identifying general training trends and requirements. Demonstrated flexibility and adaptability.

Key Duties and Responsibilities: 
• Responsible for reviewing the accuracy and consistency of clinical DRG coding auditors to ensure audits are appropriately marked for findings and no findings. 
• Assist in mentoring Coders 
• Provide updates to training and user manuals 
• Recommend process changes to improve quality and performance 
• Communicate with peers and management Provide root cause analysis on errors 
• Conduct all job functions and responsibilities in accordance with all company Compliance, Information Security and Regulatory policies, procedures and programs.

Knowledge and Skills: 
• Experience with coder tools (3M, Webstrat)
• Sound knowledge of ICD diagnosis/procedure codes, CPT, HCPCS coding guidelines 
• Ensures appropriate ICD-10 coding and sequencing as it relates to the patient’s medical condition. 
• Superior auditing and monitoring skills. 
• Excellent decision making skills and sound judgment. 
• Thorough understanding of medical terminology and human physiology. 
• Strong technical knowledge and ability to learn new systems quickly. 
• Excellent oral/presentation and written communication skills. 
• Ability to complete tasks efficiently and resolve problems within set timelines. 
• Excellent client and customer service skills. 
• Ability to mentor and instruct through audits. 
• Strong organizational skills and attention to detail. 

• Minimum 5 years relevant DRG coding or DRG auditing experience (clinical DRG preferred) 
• RHIT or RHIA certification
• CCS certification, CPC certification


Apply directly via SCIO Health Analytics/EXL Careers page: http://tempuri.org/tempuri.html

Or send resume to Lisa Crawford, Recruitment Lead at SCIO Health Analytics: lcrawford@sciohealthanalytics.com

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