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Quality Assurance (QA) Engineer (Trainer) Responsibilities Under the general supervision of the Supervisor, the incumbent is responsible for complex analysis and development of auditing and assessment processes associated with the Centralized Coding Unit. This position requires high level technical and analytical skills and plays a key role in assisting management team with implementing and enforcing policy with the goal of minimizing risks associated with hospital and professional billing as one method of preventing and detecting inappropriate, improper, and fraudulent conduct. The incumbent provides analytical support for the development and implementation of procedures regarding billing and coding policies and practices for the Centralized Coding Unit abstractors. The incumbent will aid in developing training for coding staff, physicians/other healthcare providers, and department leadership. This position requires a comprehensive knowledge of Medi-Cal, Medicare and other third-party payor program requirements, billing codes, diagnosis codes and medical terminology. Knowledge of major health care trends and issues that affect hospitals and academic health centers. Required Qualifications Applicants are encouraged to upload license and certification if required of the position. AAPC CPC, AHIMA CCS, AHIMA CCS-P or CPMA required Bachelor's degree in a related field and/or a combination of experience, education and/or training required. Several years of previous experience serving in a similar capacity, in a healthcare environment highly preferred. Experience with coding and/or auditing in a Healthcare environment for hospital and/or professional fee services for multi-specialty departments. Experience with and knowledge of instructional notations and conventions of ICD-10-CM, CPT, HCPCS classification systems; Knowledge of and ability to interpret federal, and state laws, regulations, directives and other relevant resources to effectively apply requirements to billing, documentation, privacy and security requirements. Knowledge of CMS legislation in relationship to Medicare coding and documentation compliance, National Correct Coding Initiative, Outpatient Code Editor and Fraud and Abuse Issues and OIG Scope of Work. Knowledge and understanding of policies and procedures Experience with Epic application and different modules Experience in the design for report formats, extraction of data, and development of financial and statistical reports. Proficient in office automation software word processing, spreadsheets, visual presentation such as MS Project, Excel, Visio, etc. Comprehensive knowledge of medical, diagnostic, and procedural terminology with an advanced understanding of disease processes and anatomy and physiology. Academic institution or large integrated health system experience preferred. Must be able to work extended hours and/or flexible hours as needed to meet department project demands and/or department goals. Preferred Qualifications Previous coding and auditing experience highly preferred Special Requirements AAPC CPC, AHIMA CCS, AHIMA CCS-P or CPMA requiredYou should know: Your safety matters! Vaccination against COVID-19 may be a requirement for this job in compliance with current client and governmental policies. A Kelly recruiter will confirm and share more details with you during the interview process. Why Kelly ® ?By partnering with Kelly® Technology, you'll have direct connections to top companies around the globe-giving you the chance to put your tech skills to work on some of today's most intriguing, innovative, and high-visibility projects. In a world where change is the only constant, our unparalleled connections and IT market expertise help you take your skills exactly where you want to go. We're here to help you gain experience, keep learning, and move your career forward.About Kelly ® At Kelly, we're always thinking about what's next and advising job seekers on new ways of working to reach their full potential. In fact, we're a leading advocate for temporary/nontraditional workstyles, because we believe they allow flexibility and tremendous growth opportunities that enable a better way to work and live (plus, did we mention we provide a ton of benefits ?). Connecting great people with great companies is what we do best, and our employment opportunities span a wide variety of workstyles, skill levels, and industries around the world. Kelly is an equal opportunity employer committed to employing a diverse workforce and providing accommodations for people with disabilities in all parts of the hiring process as required under its Employment Accommodation Policy. Kelly will work with applicants to meet accommodation needs that are made known to Kelly in advance.
- ID: #44722964
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State: California
Sacramento
95817
Sacramento
USA
- City: Sacramento
- Salary:
USD
TBD
TBD
- Job type: Permanent
- Showed: 2022-08-09
- Deadline: 2022-10-07
- Category: Et cetera