Landmark Health

  • Medical Coding Auditor (Remote)

    Job Locations US-WA-Seattle | US-CA-South San Francisco | US-CA-Los Angeles | US-CA-Ontario | US-NY-Buffalo | US-PA-Central Pennsylvania | US-NY-New Hyde Park, NY | US-KS-Kansas City | US-OH-Cincinnati | US-OH-Hilliard
    Posted Date 3 weeks ago(3 weeks ago)
    Category
    Coding
    Type
    Regular Full-Time
    Job ID
    2018-2177
  • Overview

    Who We Are:


     


    Landmark Health is a high growth, entrepreneurial organization committed to improving healthcare for patients with the most serious and complex medical needs wherever they reside and whenever they need it.


    Landmark is built upon the core belief that a physician-led, patient-centric, and contextually relevant intervention plan is the key to driving meaningful impact to patient care. Our clinical model is transformative – it represents a landmark in the evolution of our nation’s healthcare system.


    Turning this vision into reality requires exceptional people who share our unwavering commitment to the patients we serve.


    Do you want to make a difference?


    Join us today!


     


    Visit our website: www.landmarkhealth.org

    Responsibilities

    Position Overview:


     


    ** Minimum One (1) year coding QA/Audit experience - Required


     


    ** Coding Credential from AHIMA or AAPC – at least One of the following: CPC, CCS, CCS-P, RHIT, or RHIA - Required


     


    In this newly created, high-profile role, the Medical Coding Auditor plays a key role on the Landmark Health team by ensuring the accuracy, integrity, quality and compliance of coded patient data through Quality Assurance chart reviews; identifying opportunities for quality improvement, education and training for coding staff.  This position will also be a key contributor in both internal and external coding audit activities; including auditing internal and external auditors and vendors.  The successful candidate must have excellent attention to detail and a comprehensive knowledge of outpatient guidelines for ICD.10, CPT, HCPCS, HCC/Risk adjustment, AHA Coding Clinic and other available resources.


     


    What you'll be doing:



    • Perform quality assurance on both aggregate coded data and individual encounter data to determine accuracy of coded data utilizing established coding conventions, guidelines and regulations.

    • Audit internal and external auditors and vendors.

    • Give ongoing feedback and regularly cadenced quality scores to coders and Coding Leadership

    • Review, respond, track Health Plan coding reviews, QC, audits. Comparing HP findings and recommendations with the documentation and medical coding in the chart.  

    • Work in partnership with Coding Leadership team to identify trends, create action plans and coder education materials.

    • Review and monitor coder queries to providers ensuring strict adherence to industry standards including, but not limited to, AHIMA Practice Brief for Compliant Queries, AHA Coding Clinic recommendations for query.

    • Function as the subject matter expert for medical coding regulation, guidelines, updates and industry best practice.

    • Tracking and reporting of internal quality assurance scores to team leads, supervisors, managers, Coding Director, compliance and others as need.

    • Develop and cultivate positive relations with Medical Coders and Coding Specialists. Foster a positive culture and environment of support and continuous improvement throughout the QA process.

    Qualifications

    What we're looking for:



    • 1 year coding QA/Audit experience Required

    • Coding Credential from AHIMA or AAPC – at least one of the following: CPC, CCS, CCS-P, RHIT, or RHIA  Required

    • Experience auditing internal and external auditors

    • Ability to travel up to 10%



    Bonus Points Awarded (but Not required) for:



    • 2+ year experience coding QA and audit experience

    • Experience in QA Risk Adjustment coding and auditing

    • Experience developing and presenting coder education

    • Experience in outpatient Fee For Service coding

    • Credential from AAPC or AHIMA in coding QA and/or audit

    • Experience with a remote work environment 



    What Makes this a Great Opportunity:



    • Incredible career growth opportunity to build something great; bring your ideas and experience, where your input matters! We Listen!

    • Above industry average and Highly Competitive Compensation Package, including performance bonus!

    • Apply and stretch your medical coding auditing, quality assurance and project management skills within a collaborative team environment!

    • Landmark is an expanding, national, financially stable company!

    • Great benefits package including 401k with company match, Medical, Dental, Vision, Generous Paid Time Off plan!

    • Expense Reimbursement for Child and Elder Care, Education, and certification fees!

    • Landmark has received the Modern Healthcare Best Places to Work award two years in a row.

    • Much More!


     


    Landmark Health, LLC is an Equal Employment Opportunity/Affirmative Action employer.

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