Coordinator1-QA

Additional Information:

Type: Short Term Position (3 - 6 months)

Location: Remote

Pay Rate: $20.00

Background Check: CMS & Orange Tree



The Coordinator-QA is responsible for auditing and evaluating medical coder determinations to ensure accuracy, compliance, factual integrity, and consistency in grammar and punctuation.



Key Responsibilities:

1. Responsible for evaluating staff members on the quality of work performed as measured aProductst project standards, contractual requirements, and performance measures. All final and binding determinations must go through the QC process prior to dissemination of determination.

2. Conduct monitoring activities for quality assurance purposes.

3. Assist with staff training, as necessary.

4. Perform other duties as may be assigned by corporate management.

Skills needed:

1. Knowledge of Medical Billing and Coding Systems: Familiarity with coding systems such as ICD-10-CM, CPT, and HCPCS is preferred as well as knowledge of CPT modifiers and how they impact reimbursement.

2. Attention to Detail: Accuracy is critical in the quality review audits. Attention to detail helps in avoiding errors that could lead to determination disputes or legal issues.

3. Understanding of the No Surprises Act: An understanding of the No Surprises Act and its implications for billing practices is preferred.

4. Excellent grammar skills: The coordinator- QC will be responsible for reviewing determinations letters for grammar, punctuation, accuracy, and factual correctness prior to the determination letters being distributed to our client as well as the disputing parties.



Minimum Requirements:

- High school diploma or GED required, and 0-2 years of relevant professional experience required, or equivalent combination of education and experience.