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QA CODING SPECIALIST III job in Plantation at Envision Physician Services

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QA CODING SPECIALIST III at Envision Physician Services

QA CODING SPECIALIST III

Envision Physician Services Plantation, FL Full Time
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Overview

Envision Physician Services is a multispecialty physician group and practice management company. Established in 1953, our organization provides anesthesia, emergency medicine, hospital medicine, radiology, primary/urgent care, surgical services, and women’s and children’s health services to hospitals and health systems nationwide. Sheridan Healthcare, EmCare, Reimbursement Technologies and Emergency Medical Associates have recently joined forces to form Envision Physician Services.  As one organization, we now provide a greater scope of service than any other national physician group. Our collective experience from hundreds of local, customized engagements, culture of continuous lean process improvement, and team of experts in the business of healthcare enable us to better solve complex problems and consistently give healthcare organizations confidence in our execution. Our combined organization serves more than 780 healthcare facilities in 48 states and the District of Columbia. 

If you are looking for a stable, fast-paced, growing company in the healthcare industry that is committed to innovation, excellence and integrity, then this may be a great next step in the advancement of your career.

We currently have an exciting opportunity available for an experienced QA Coding Specialist III.

The Quality Assurance Specialist in the Coding department will review the quality of coder output, utilizing internally developed norms and criteria. The Senior Quality Assurance Specialist will also have specialized QA functions as described below.



Responsibilities

  • Daily auditing of coded medical records to ensure coding accuracy.
  • Gathering of general documentation issues for the purpose of educational feedback.
  • Documents QA results and variances identified on coder chart.
  • Audit the daily quality standards of 180 records.
  • Attend coding in-services with Manager of QA.
  • Adhere to and comply with information systems security. Know and follow Information Systems security policies and procedures. Attend Information Systems security training, when offered. Report information systems security problems.
  • Other duties as assigned
  • Reads and abides by the company’s code of conduct, ethics statements, employee handbook(s), policies and procedures and other corporate mandates, including participation in mandatory training programs
  • Reports any real or suspected violation of the corporate compliance program, company policies and procedures, harassment or other prohibited activities in accordance with the reporting policies of the company
  • Obtains clarification of policy whenever necessary and may use the resources available through the Compliance, Human Resources or Legal Department to do so
  • In addition to the above, The Senior Quality Assurance Specialist will
  • Reviews trends of coding denials for
  • QA/coder’s feedback
  • Report to Reimbursement for possible payor issues, system issues or edit issue/s.
  • Respond to coding denial inquiries from other departments
  • Training of new Coding Denial staff, QA and feedback.
  • Complete QA summary file
  • Support and abide by the values of the company


Qualifications

  • High School diploma or general education degree (GED) required.
  • Associate degree in RHIT preferred
  • Five (5) + years related coding experience and/or training; or equivalent combination of education and experience preferred.  
  • Working knowledge of Embillz billing system.
  • Good computer skills including the ability to be on multiple screens at once as well as use the zoom in and zoom out feature.
  • Flexible, high achiever with ability to learn quickly and meet department goals and deadlines consecutively.
  • Strong data entry skills
  • Strong attention to detail.
  • Organized, detail oriented with excellent follow through abilities.
  • Communicate effectively, both orally and in writing, in English.
  • Medical terminology
  • HIPAA requirements
  • Medical coding or CPC-A preferred

We offer a comprehensive benefits package that includes full Medical, Dental and Vision benefits effective on your first day of employment. A company matching 401 K, tuition reimbursement, company paid Life Insurance and Long-term Disability, as well as generous PTO and Paid Holidays.

If you are ready to join an exciting, progressive company and have a strong work ethic, join our team of experts! We offer a highly competitive

#CB

 

Recommended Skills

Product Quality Assurance
Medical Terminology
Medical Billing And Coding
Medical Records
Training
Registered Health Information Technician

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