Telecommute Coding Quality Review Team Lead in Nashville

Job ID: Available for Members

Location: Tennessee

Compensation: To Be Discussed

Posted: Monday, April 16, 2018

Job Category: Healthcare, Management, Quality Assurance

Telecommute Level: 100% Telecommute

Travel Requirements: No Travel

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Manager

Job Summary

A healthcare company needs applicants for an opening for a Telecommute Coding Quality Review Team Lead in Nashville.

Core Responsibilities of this position include:

  • Performs coding quality reviews including appeal escalation and communication of the account outcomes
  • Performs internal quality reviews on CQRs and reporting to CQR Management
  • Acts as the Subject Matter Expert to assist with development, testing and maintenance of such tools

Qualifications for this position include:

  • Experience with extensive regulatory coding (ICD-9-CM, ICD-10-CM, ICD-10-PCS, CPT-4, Modifiers, MS-DRGs, POA assignment and where applicable APR-DRGs) and associated reimbursement knowledge
  • Ability to analyze trends in CMI and determine root cause and address as appropriate
  • Communicates professionally, clearly, proactively, and concisely with all key stakeholders, both individually and in group settings
  • Possesses good interpersonal skills in building, negotiating, and maintaining crucial relationships
  • Uses appropriate interpersonal styles and methods to reduce tension or conflict between two or more people