Quality control chemist Jobs in Athens ga
- Promoted
SEQUENT QUALITY CODING SPECIALIST
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- Promoted
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Sr Quality Auditor - Quality Management Systems
Kimberly-Clark USA, LLCFlexible, GA, USASEQUENT QUALITY CODING SPECIALIST
Northside HospitalGA, United States- Full-time
The Quality Coding Specialist (QCS) is responsible for supporting the clinically integrated network's (CIN) quality performance program and ensuring accurate and compliant coding practices to support value-based healthcare initiatives. The QCS will work to implement and optimize quality measure performance, drive patient engagement initiatives, and facilitate practice transformation to align with value-based programs. Serves as educational resource for physician practices and ensure they are informed and engaged in network clinical initiatives. Responsible for reviewing and analyzing medical records, assessing the accuracy of diagnostic coding, and identifying opportunities for improvement in risk adjustment documentation and coding practices.
The Quality Coding Specialist (QCS) is responsible for supporting the clinically integrated network's (CIN) quality performance program and ensuring accurate and compliant coding practices to support value-based healthcare initiatives. The QCS will work to implement and optimize quality measure performance, drive patient engagement initiatives, and facilitate practice transformation to align with value-based programs. Serves as educational resource for physician practices and ensure they are informed and engaged in network clinical initiatives. Responsible for reviewing and analyzing medical records, assessing the accuracy of diagnostic coding, and identifying opportunities for improvement in risk adjustment documentation and coding practices.
REQUIRED
- Certified Professional Coder (CPC) or Certified Risk Adjustment Coder (CRC) credential.
- Three (3) year experience in ambulatory care setting, responsible for ICD-10-CM and CPT coding.
- In-depth knowledge of risk adjustment coding methodologies, including HCC (Hierarchical Condition Category) coding.
- Strong understanding of value-based care models, population health management, and quality improvement methodologies.
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