Quality Assurance Specialist
1 month ago
Guidehouse is seeking a highly skilled Quality Assurance Specialist to join our team. As a Quality Assurance Specialist, you will play a critical role in ensuring the highest quality of coding services for our clients.
About the RoleThis is a unique opportunity to work with a talented team of professionals who are passionate about delivering exceptional results. The successful candidate will have excellent analytical and problem-solving skills, with a strong attention to detail and ability to work independently.
Responsibilities- Plan, Monitor, and Direct QA Production: You will be responsible for planning, monitoring, and directing QA production on a daily basis, ensuring that daily schedules are met and communicating with Directors and Coding Operations as necessary.
- Communicate with Stakeholders: You will be the primary point of contact for quality staff, answering queries on a day-to-day basis and escalating issues to the Director of Coding as required.
- Review Medical Record Documentation: You will review medical record documentation for accuracy, sequence diagnoses and procedures using coding guidelines, and ensure MS-DRG/APC assignment is accurate.
- Abstract and Compile Data: You will abstract and compile data from medical records for optimal reimbursement, reviewing code assignments that are not straightforward or the documentation in the record is inadequate, ambiguous, or unclear for coding purposes.
To succeed in this role, you will need to possess the following qualifications and skills:
- Accredited Medical Coder: You must be an accredited medical coder (CCA, CCS, CPC, CPC-H) with at least 3+ years' experience.
- Strong Analytical Skills: You will need to have excellent analytical and problem-solving skills, with a strong attention to detail and ability to work independently.
- Excellent Communication Skills: You will be required to communicate effectively with stakeholders, including quality staff, directors, and coding operations.
Guidehouse offers a comprehensive total rewards package that includes competitive compensation and a flexible benefits package. This is a fantastic opportunity to join a dynamic team and advance your career in quality assurance.
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