Coding Compliance Specialist - Quality Assurance

Are you a meticulous and detail-oriented individual with a passion for ensuring compliance and accuracy? Do you have a strong background in coding and quality assurance? If so, we have an exciting opportunity for you to join our team as a Coding Compliance Specialist - Quality Assurance at Presbyterian Healthcare Services. As a key member of our team, you will play a crucial role in ensuring our coding practices adhere to industry standards and regulations. If you are ready for a challenging yet rewarding position in a dynamic healthcare organization, we encourage you to apply today!

1. Conduct thorough reviews and audits of coding processes to ensure accuracy and compliance with industry standards and regulations.
2. Identify and report any discrepancies or errors in coding practices to the appropriate parties for resolution.
3. Collaborate with coding and billing teams to develop and implement corrective action plans to address any identified issues.
4. Stay up-to-date on changes in coding regulations and guidelines to ensure ongoing compliance.
5. Monitor and track coding metrics to identify trends and areas for improvement.
6. Develop and maintain comprehensive documentation of coding processes and procedures.
7. Provide training and support to coding and billing teams on coding compliance and best practices.
8. Participate in coding and billing meetings to provide updates on compliance issues and recommendations for improvement.
9. Conduct regular audits of medical records to verify coding accuracy and completeness.
10. Communicate with external auditors and regulatory agencies as needed.
11. Stay informed on industry trends, changes, and best practices related to coding compliance.
12. Serve as a resource for coding and billing staff on questions related to compliance and coding guidelines.
13. Proactively identify and address potential compliance risks and recommend solutions to mitigate these risks.
14. Collaborate with other departments, such as legal and compliance, to ensure alignment and consistency in compliance efforts.
15. Maintain confidentiality and adhere to all HIPAA regulations in handling sensitive information.
16. Assist in developing and implementing quality improvement initiatives related to coding compliance.
17. Serve as a subject matter expert on coding compliance for the organization.
18. Other duties as assigned by supervisor.

According to JobzMall, the average salary range for a Coding Compliance Specialist - Quality Assurance in Albuquerque, NM, USA is between $52,000 and $78,000 per year. This range may vary depending on the specific company, experience level, and additional skills and certifications held by the individual.

Presbyterian Healthcare Services is a private not-for-profit health care system and health care provider in the State of New Mexico. It owns and operates 8 hospitals in 7 New Mexico communities. It also operates Presbyterian Health Plan.