Quality Analyst - Profee Multispecialty E/m

Guidehouse

Not specified
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 its Profee Multispecialty E/m team, focusing on ensuring the accuracy of medical coding and quality assurance processes. The ideal candidate should have over five years of medical coding experience and relevant certifications, while being adaptable and able to work closely with team members to meet deadlines

Job Summary

  • Plans, monitors, directs and evaluates QA production on a daily basis, ensuring daily schedules are met and communicating with leadership regarding any delays.
  • Reviews medical record documentation for accuracy in code assignment, sequencing diagnoses and procedures, and ensuring accurate MS-DRG/APC assignment.
  • Documents QA data, records findings in the QA system for client reporting, identifies risk areas, and develops training and education programs.

Matching Summary

Match Score: 85

Guidehouse is seeking a Quality Analyst for its Profee Multispecialty E/m team, focusing on ensuring the accuracy of medical coding and quality assurance processes. The ideal candidate should have over five years of medical coding experience and relevant certifications, while being adaptable and able to work closely with team members to meet deadlines.

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
  • Maintain understanding of anatomy and physiology
  • Adhere to Standards of Ethical Coding

Nice-to-have

  • Guidance and mentorship of coders
  • Coordination of continuing education
  • Active involvement in project launches

Key Requirements

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

Work Rights

Not specified

Tailored Resume

Cover Letter