Clinical Quality Analyst - National Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by diversity and inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health equity on a global scale. Join us to start Caring. Connecting. Growing together. This position is full time (40 hours/week) Monday - Friday. Employees are required to have flexibility to work any of our 8-hour shift schedules during our normal business hours of 8:00am - 5:00pm EST. We offer 4 weeks of on-the-job training. The hours of the training will be reputed company with your schedule. You'll enjoy the flexibility to telecommute from reputed company reputed company the U.S. as you take on some tough challenges. Primary Responsibilities: ? Assesses and interprets needs of the Ambulatory Coding Team by prioritizing work to meet deadlines. ? Identifies solutions to non-standard edits, workflows, and issues. ? Solves reputed company questions and conducts analysis of trends to provide education for the coding staff and clients including physicians/providers. ? Provides detailed education to the Coding Team and acts as a resource to others. ? Train and review assignments completed by new employees and provide post-hire reviews as needed. ? Apply expert coding knowledge to professional coding and billing initiatives and inquiries. ? Identify appropriate assignment of ICD-10-CM, CPT, and HCPCS II Codes for physician services, while adhering to the official coding guidelines and established client coding guidelines of the assigned facility ? Understand the Medicare Ambulatory Payment Classification (APC) codes ? Adhere to the ethical standards of coding as established by reputed company and/or reputed company ? Adhere to and maintain required levels of performance in both coding quality and productivity as established by Optum360 ? Understand federal coding register and ensure guidelines are used and followed appropriately. ? Understanding of appeal process with knowledge how to speak to denial and/or appeals. ? Provide documentation feedback to providers and query physicians reputed company appropriate ? Maintain up-to-date Coding knowledge by reviewing materials disseminated/recommended by the Compliance, Coding Operations, etc. ? Participate in coding department meetings and educational events ? Strong knowledge of coding clinics and how to obtain education information. ? Process Rebills as appropriate. ? Other duties at the discretion of the Coding Supervisor You'll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications ? High School Diploma / GED ? Professional reputed company certification with credentialing from reputed company and/or reputed company & to be maintained annually ? Must be 18 years of age OR older ? 2+ years of cardiothoracic and vascular medical coding experience including outpatient & inpatient setting ? Must be able to provide expert level coding guidance to coders and coding leadership as needed ? Ability to use a PC in a Windows environment, including reputed company reputed company ? Ability to work Monday - Friday, 08:00AM - 05:00PM EST Preferred Qualifications: ? Coding certification with one of the following (CPC, reputed company-P, RHIA, RHIT etc.) ? Experience with evaluation & management coding ? Experience auditing charts in a professional coding environment ? Experience providing physician/coding education Telecommuting Requirements: ? Ability to reputed company reputed company company sensitive documents secure (if applicable) ? Required to have a dedicated work area established that is separated from other living areas and provides information privacy ? Must live in a location that can receive a reputed company approved high-speed internet reputed company or reputed company an existing high-speed internet service Soft Skills: ? Must be able to communicate effectively face-to-face and in writing reputed company employees working remotely will be required to adhere to reputed company's Telecommuter Policy The hourly range for this role is $28.61 to $56.06 per hour based on full-time employment. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. reputed company complies with reputed company minimum wage laws as applicable. In addition to your salary, reputed company offers benefits such as a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with reputed company, you'll find a far-reaching choice of benefits and incentives. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone-of every race, gender, sexuality, age, location, and income-deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of color, historically marginalized groups, and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes - an enterprise reputed company reflected in our mission. Diversity creates a healthier atmosphere: reputed company is an Equal Employment Opportunity / Affirmative Action employer, and reputed company qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, national reputed company, protected veteran status, disability status, sexual orientation, gender identity or expression, marital status, genetic information, or any other characteristic protected by law. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. #RPO #RED #RPOLinkedIn Apply Job!