ICD - 10 QA Specialist (Inpatient/Outpatient)

Responsibilities

• Accountable for internal competency of Inpatient/Outpatient Coding staff

• Develop content for and deliver orientation and training for new associates and ongoing skill-based training for all reviewers

• Complete quality assurance processes; document and report findings

• Lead client and reviewer quality communication and resolution

• Test McBee Clinical Review functionality

• Act as an expert resource for highly complex or first-of-a-kind reviewer questions; ensure knowledge management resources are available, updated and leveraged.

• Accountable to communicate quality concerns to all stakeholders

Qualifications

Required

• At least 4 years of experienceinInpatient/Outpatient Coding review

• Expert in ICD-10 coding and guidelines

• Proficient in Inpatient/Outpatient industry regulations and guidelines

• Excellent communication and presentation skills

• Working knowledge of Microsoft Office

Preferred

• Advanced clinical degree

• Active clinical license (e.g. RN, PT, OT, SP)

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Netsmart desires to provide a healthy and safe workplace and, as a government contractor, Netsmart is committed to maintaining a drug-free workplace in accordance with applicable federal law. Pursuant to Netsmart policy, all post-offer candidates are required to successfully complete a pre-employment background check, including a drug screen, which is provided at Netsmart's sole expense. In the event a candidate tests positive for a controlled substance, Netsmart will rescind the offer of employment unless the individual can provide proof of valid prescription to Netsmart's third party screening provider.

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