Quality Officer II

Job Summary

A company is looking for a Quality Officer II.

Key Responsibilities

• Ensure accuracy and integrity of ICD-10-CM/PCS coding and DRG assignment for inpatient Managed Medicare encounters
• Critically analyze Managed Medicare inpatient medical records for appropriate coding and DRG judgments
• Educate and coach coders on coding principles, case-specific recommendations, and clinical disease processes

Required Qualifications

• Bachelor's degree or equivalent experience; 5+ years of acute care coding/auditing experience required with a degree, or 9+ years without
• CCS certification required; proficiency in ICD-10-CM/PCS is necessary
• Extensive knowledge of ICD-10-CM/PCS, CPT coding, medical terminology, and human anatomy
• Knowledge of Medicare and Medicaid billing and coding regulations
• Preferred certifications include CPC-H, RHIT, RHIA, and/or RN