Quality Analyst - Profee Surgery

Guidehouse

Not specified (assumed hybrid or fully remote based on industry norms).
Icd-9-cm and cpt-4 coding conventions
Ms-drg/apc assignment accuracy
Abstract and compile data from medical records
Guidehouse is seeking a Quality Analyst for Profee Surgery, requiring 5+ years of medical coding experience, preferably with accreditation. The role involves planning, monitoring, and evaluating QA production, ensuring accurate coding and compliance with guidelines

Job Summary

  • Plans, monitors, directs and evaluates QA production on a daily basis, ensuring that daily schedules are met and communicating with Director and Coding Operations if situations occur that hinder meeting deadlines.
  • Reviews medical record documentation for accuracy in code assignment of the primary/secondary diagnosis and procedures using ICD-9-CM and CPT-4 coding conventions and sequences the diagnosis and procedures using coding guidelines.
  • Documents QA data on teams of QA/coders and records findings in the QA system (Guide Audit) for reporting to the client, identifying risk areas, development of training and education programs and development/implementation of standardization within the organization.

Matching Summary

Match Score: 85

Guidehouse is seeking a Quality Analyst for Profee Surgery, requiring 5+ years of medical coding experience, preferably with accreditation. The role involves planning, monitoring, and evaluating QA production, ensuring accurate coding and compliance with guidelines.

Skills & Requirements

Must-have

  • ICD-9-CM and CPT-4 coding conventions
  • MS-DRG/APC assignment accuracy
  • Abstract and compile data from medical records
  • Review medical record documentation
  • Guidance and mentorship of coders

Nice-to-have

  • Microsoft Excel, Word and PowerPoint experience

Key Requirements

  • 5+ years Medical Coding Experience
  • Accredited medical coders (CCA, CCS, CPC, CPC-H)
  • At least 3+ years’ experience

Work Rights

Not specified

Tailored Resume

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