Quality Improvement Coordinator (QIC) - IP and OP Medical Coding

Position Purpose

To provide on-going quality assurance activities for respectively assigned client engagements in order to ensure the highest level of coding quality of company resources.

Position Summary

Responsible for performing coding quality improvement and oversight for coding and data quality engagements by assessing coding accuracy and to maintain internal and client-specific accuracy requirements. QIC is responsible for coordinating quality management efforts including development, implementation, education, data collection and analysis.

The QI Coordinator is also responsible for providing consulting services and acting as subject matter expert to existing and new clients. Consultant may be required to perform consulting services remotely, to ensure billable hours are generated for the company. The set goal is to generate revenue equal to 1 (one) times annual salary, by performing billable hours for clients, or through referrals which lead to new contracts and additional revenue equal to 1 (one) times annual salary.

Essential Job Requirements

Education : Associate degree required; Bachelor degree preferred

Experience : Minimum of 5-7 years of H.I.M. and coding experience, with at least 5 years of coding quality assurance experience (auditing), IP and OP Coding and Auditing experience.

Credentials / Certifications : CCS and / or RHIA / RHIT required. Additional credentials (CPMA, CCS-P, CPC, COC, CIC, or CRC) are preferred.

Required Skills :

• Advanced knowledge and performance of ICD-10-CM / PCS coding, CPT coding, HCPCS coding, MS-DRGs, APR- DRG’s, APCs, HCCs, POAs, HACs, medical terminology, and pharmacology.
• Advanced knowledge of documentation standards and improvement methodologies.
• Strong Proficiency in auditing concepts, principles, statistics, and reporting.
• Knowledge and use of grouper and encoder systems, 3M / Nuance Clintegrity preferred.
• Knowledge and use of EMRs, Epic / Powerchart preferred
• Strong Proficiency in ICD-10 CM / PCS, CPT coding, MS-DRG, APRDRG chart auditing.
• Strong organizational, analytical, and problem-solving abilities and techniques with excellent communication and interpersonal skills.
• Ability to work independently in a remote environment.

Preferred Skills : Strong Proficiency in MS Office. (Word, Excel, PowerPoint)

Productivity Standards : 15-18 IP cases per 8-hour shift. 25-30 OP cases per 8 hour shift.

Position Responsibilities

Limitations and Disclaimer

The above job description is meant to describe the general nature and level of work being performed; it is not intended to be construed as an exhaustive list of all responsibilities, duties and skills required for the position.

All job requirements are subject to possible modification to reasonably accommodate individuals with disabilities. Some requirements may exclude individuals who pose a direct threat or significant risk to the health and safety of themselves or other employees.

This job description in no way states or implies that these are the only duties to be performed by the employee occupying this position. Employees will be required to follow any other job-related instructions and to perform other job-related duties requested by their supervisor in compliance with Federal and State Laws.

Requirements are representative of minimum levels of knowledge, skills and / or abilities. To perform this job successfully, the employee must possess the abilities or aptitudes to perform each duty proficiently. Continued employment remains on an “at-will” basis.

Job Type : Full-time

Work Location : Remote