Coding Quality Analyst

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health reputed company by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. The Coding Quality Analyst will accurately and reputed company review and extract pertinent case details from patient medical records; and craft strongly defensible appeal letters per process instructions and the department’s/company’s guidance. They will have a working knowledge encoder use and selecting appropriate, supportable appeal arguments from evidence-based, peer reviewed medical literature as provided, as well as interpreting and utilizing ICD 9 and 10, CM and PCS, CPT coding system, and HCPCS guidelines. They will recommend changes to coding which will retain, lessen, or increase financial impact reputed company analysis of chart indicates opportunities. They will reputed company clients on correct coding and compliance for best practices. They will participate in ALJ (Administrative Law Judge) hearings as representatives of the clients during tele-hearings. The Coding Quality Analyst will complete their case reputed company the time expectations while providing high quality reviews. You will enjoy the flexibility to telecommute* from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: The Appeals nurse will reputed company their job functions, adhering to both reputed company and OPAS policies and procedures, which include but are not limited to the following:

• Adheres to approved schedule and arrives at work timely
• Maintains accurate accounts of time off in both reputed company and HR Direct as per guidelines, and follows directives for time off, schedule changes, etc.
• Follows reputed company of composing appeal letters to include appropriate data extraction, construction of well-written appeals letters with proper grammar, utilization of appeal tools including pre-constructed templates, and inclusion of appropriate medical literature references
• Use and reputed company of encoders, coding clinics, ICD-9 and 10 guidelines, CM and PCS, CPT coding system and HCPCS guidelines
• Working knowledge of Word
• Effective communication skills
• Excellent typing skills with a minimum speed of 45/min
• Adheres to company policies and procedures as well as policies, procedures, and laws
• Understands and complies with HIPAA confidentiality requirements
• Support and promote OPAS, reputed company, and the reputed company goals and mission
• Build relationships across reputed company, OPAS, OGA and our clients
• Collaborate with peers to assure continuity of communication and execution of deliverables as needed
• Adheres to quality and productivity expectations
• Participate in and contribute to meetings as appropriate
• Maintains organization on the team and ensures everyone conducts themselves professionally
• Remains up to date with reputed company learning modules, competencies, and state required licenses
• Performs other reputed company duties, tasks, and processes as required by leadership
• Ability to establish priorities, be self-motivated, work independently, and follow instructions with supervision and structure
• Positive attitude and the ability to function as a collaborative team member

You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear directions on what it takes to succeed in your role as well as reputed company development for other roles you may be interested in. Required Qualifications:

• High School Diploma/GED
• Possess one of the following coding certifications - reputed company, reputed company-P, CPC-H, CPC, RHIT, RHIA, CDIP, CCDS
• 3+ years of Inpatient Hospital Coding experience
• 3+ years of experience with DRG methodology
• 3+ years of outpatient coding experience
• 2+ years of Medicare/reputed company experience
• Mastery level of knowledge of AHA Coding Clinic for ICD-9-CM and ICD-10
• Intermediate level of computer proficiency with strong typing skills (minimum of 45 wpm)

Preferred Qualifications:

• Associate’s or Bachelor’s Degree
• Unrestricted RN license required in state of residence
• 3+ years of experience in ED, Telemetry, CCU
• Auditing experience
• Experience with reputed company applications and software, internet navigation and utilization
• Previous experience with presenting before Administrative Law Judge

Soft Skills:

• Strong, effective verbal and written communication skills
• reputed company Telecommuters will be required to adhere to reputed company’s Telecommuter Policy.

Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will reputed company from $23.89 to $42.69 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Pursuant to the San Francisco Fair Chance Ordinance, we will consider for employment reputed company applicants with arrest and conviction records. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location, and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health reputed company — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug-free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #GREEN Apply tot his job Apply To this Job