Top 44 Quality assurance lead Jobs in Alexandria, La

Coding Quality Auditor
Houston Methodist —Louisiana
- Full-time
- Anatomy knowledge
- English
- Mid-level
Coding Quality Auditor
Houston Methodist —Louisiana
- Full-time
- Anatomy knowledge
- English
- Mid-level
1d
Clinic Patient Representative Senior-Specialty Cardiology
Christus Health —Alexandria, LA
- Full-time
- HIPAA
- Mid-level
- 3 years
1d
Clinic Patient Representative Senior - Podiatry
Christus Health —Alexandria, LA
- Full-time
- HIPAA
- Mid-level
- 3 years
Dean of Academics and Adult Education
CLTCC —Alexandria, LA
- $1 - $2 an hour
- Full-time
- Doctoral degree
- 5 years
- Writing skills
Quick Apply
4d
Data Center Mechanical Engineering SME
Applied Digital Corporation —Boyce, LA
- Overtime
- 7 years
- Office
- Analysis skills
Quick Apply
Pharmacist in Charge - Long Term Care - Full Time
CVS Health —Alexandria, LA
- $51.06 - $81.13 an hour
- Full-time
- Bachelor of Science
- Bachelor's degree
- Fair chance
- Employee stock purchase plan
- Health insurance
Licensed Clinical Social Worker (LCSW)
Freedom Behavioral Hospital of Bunkie —Alexandria, LA
- $36 - $42 an hour
- Full-time
- Management
- Writing skills
- Licensed Clinical Social Worker
Quick Apply
11d
Laboratory Director
Career Land Center, LLC —Alexandria, LA
- Full-time
- Hospital
- Bachelor's degree
- Acute care experience
- Paid holidays
- Disability insurance
Quick Apply
Nuclear Medicine-Rad Tech
Rapides Regional Medical Center —Alexandria, LA
- Full-time
- Mid-level
- Medical-Surgical
- Radiology
- Employee stock purchase plan
- Disability insurance
Quick Apply
3d
National Account Manager - Foodservice
Schweid & Sons —United States
- $140,000 - $175,000 a year
- Remote
- Microsoft Word
- 5 years
- Continuous improvement
- Paid holidays
- Health insurance
Director of Operations- Federal Civilian
Loyal Source Government Services —United States
- From $185,000 a year
- Customer service
- Office
- Master's degree
Quick Apply
12d
Examiner Trainer Regional Lead
Loyal Source Government Services —United States
- Nursing
- Certified Nurse Practitioner
- BLS Certification
Quick Apply
4d
Compounding Pharmacist (Full -Time)Prince Edward Island, Canada
Murphy's Pharmacies PEI —United States
- Full-time
- Mid-level
- Supervising experience
- Continuous improvement
- Relocation assistance
- Dental insurance
Quick Apply
Senior Manager/Associate Director, Regulatory CMC Consultant (REMOTE)
Kaztronix —United States
- Contract
- Remote
- 6 years
- Management
- Bachelor's degree
Quick Apply
Head of Clinical Operations (Oncology)
Kaztronix —United States
- Remote
- 11+ years
- Business development
- Bachelor's degree
Quick Apply
Alteryx Workflow Developer
Vytwo —United States
- Full-time
- Remote
- Engineering
- 3 years
- Java
Quick Apply
Chief Nursing Officer Home Health
SimiTree Talent Solutions —United States
- $240,000 - $260,000 a year
- Travel nursing
- RN License
- 11+ years
- Travel
- Health insurance
- Dental insurance
Quick Apply

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Coding Quality Auditor
Houston Methodist —Louisiana
Provides assistance to the leadership team or other coders with coding of the accounts or answering questions from other coders relating to coding and work…
Coding Quality Auditor
Houston Methodist —Louisiana
Provides assistance to the leadership team or other coders with coding of the accounts or answering questions from other coders relating to coding and work…
1d

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quality assurance lead jobs near alexandria, la

Coding Quality Auditor

Houston Methodist -
Louisiana

Apply Now

Job Details

Full-time

Qualifications

Anatomy knowledge
English
Medical terminology

Full Job Description

At Houston Methodist, the Coding Quality Auditor position is responsible for ensuring accuracy in code assignment of diagnosis and procedure to outpatient and/or inpatient encounters based upon documentation within the electronic medical record while maintaining compliance with established rules and regulatory body guidelines. This position performs data quality review to ensure data integrity, coding accuracy, and revenue preservation. Additional duties include participating in quality review and performance improvement projects throughout the department and/or facility.

FLSA STATUS
Non-exempt

QUALIFICATIONS

EDUCATION

Associate’s degree or higher in a Commission on Accreditation in Health Informatics and Information Management accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree

EXPERIENCE

Five years of coding experience relevant to the area auditing (e.g., inpatient, outpatient, professional fee)

LICENSES AND CERTIFICATIONS
Required

For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required
For professional fee coding: CPC from AAPC is required

SKILLS AND ABILITIES

Demonstrates the skills and competencies necessary to safely perform the assigned job, determined through on-going skills, competency assessments, and performance evaluations
Sufficient proficiency in speaking, reading, and writing the English language necessary to perform the essential functions of this job, especially with regard to activities impacting patient or employee safety or security
Ability to effectively communicate with patients, physicians, family members and co-workers in a manner consistent with a customer service focus and application of positive language principles
Knowledge of an electronic medical record and imaging systems
Working knowledge of medical terminology, anatomy and physiology
Proficiency with electronic encoder application

ESSENTIAL FUNCTIONS

PEOPLE ESSENTIAL FUNCTIONS

Interacts and communicates effectively with members of the coding team and HIM, physicians, CDMP nurses, IT, Quality Operations, Case Management, Patient Access and Business Office.
Participates and provides good feedback during coding section meetings, coding education in-services, and coder/CDMP meetings. Takes initiative to assist others and shares knowledge with the coding group and business partners on official coding guidelines.

SERVICE ESSENTIAL FUNCTIONS

Responds promptly to internal and external customer coding/DRG requests. Responds promptly to Business Office requests to code or review coded accounts for accuracy. Identifies and anticipates customer requirements, expectations, and needs. Provides assistance to the leadership team or other coders with coding of the accounts or answering questions from other coders relating to coding and work flows.
Initiates queries with physicians to obtain or clarify diagnoses and/or procedures as appropriate, utilizing the established physician query process. Provides assistance to Clinical Documentation Management Program (CDMP) with appropriate MS-DRG and APR-DRG assignment, sequencing of diagnoses and procedures, and coding and documentation training.
Assists with quality assurance (peer) reviews to ensure data integrity and accuracy of coding, identifies opportunities for improvements, and makes recommendations for optimal enhancements.
Assists Case Management and Patient Access Departments in providing appropriate CPT codes for pre-admission and pre-certification requirements including the inpatient only process. Assists in the development of documentation protocols for physicians. Represents the coding area in Hospital meeting/events when necessary (e.g., Performance Improvement Committees).

QUALITY/SAFETY ESSENTIAL FUNCTIONS

Maintains and achieves the highest standards of coding quality by assigning accurate ICD-9-CM/ICD-10-CM/ICD-10-PCS and CPT codes utilizing an electronic encoder application in accordance with hospital policy and regulatory body guidelines.
Performs accurate, optimal DRG and APC assignment, in accordance with nationally established rules and guidelines based upon documentation within the medical record.
Reviews discharge disposition entered by nursing and corrects if necessary in order to achieve the highest quality of entered data.
Assigns and enters physician identification number and procedure date correctly in the medical record abstracting system. Reviews medical record documentation and abstracts data into the encoder and Electronic Health Record (EHR) abstracting system to determine principal or final diagnosis, co-morbid conditions and complications, secondary conditions and procedures.
Assists with quality reviews of outpatient or inpatient accounts and/or training of new coders. Complies with the Standards of Ethical Coding as set forth by the American Health Information Management Association (AHIMA) and adheres to official guidelines.
Aggregates data from reviews and compiles reports for HIM management.

FINANCE ESSENTIAL FUNCTIONS

Utilizes time effectively. Consistently codes and abstracts at departmental standards of productivity while ensuring accuracy of coding. Ensures work flows and worklists are reviewed or monitored in order to identify old uncoded accounts or problem accounts.
Assists in making sure coding bill hold goal is met. Maintains coding timeframes within acceptable guidelines by ensuring all work items assigned to the coding queues and worklists are processed in a timely manner.

GROWTH/INNOVATION ESSENTIAL FUNCTIONS Critically evaluates her or his own performance, accepts constructive criticism, and looks for ways to improve. Displays initiative to improve relative to job function. Contributes ideas to help improve quality of coding data and abstracting data.

SUPPLEMENTAL REQUIREMENTS

WORK ATTIRE

- Uniform: No
- Scrubs: No
- Business professional: Yes
- Other (department approved): No

ON-CALL*

- Note that employees may be required to be on-call during emergencies (ie. Disaster, Severe Weather Events, etc) regardless of selection below.
- On Call* No

TRAVEL**

**Travel specifications may vary by department**

- May require travel within the Houston Metropolitan area Yes
- May require travel outside Houston Metropolitan area Yes

QUALIFICATIONS

EDUCATION

Associate’s degree or higher in a Commission on Accreditation in Health Informatics and Information Management accredited program required or additional two years of experience (in addition to the minimum experience requirements listed below) required in lieu of degree

EXPERIENCE

Five years of coding experience relevant to the area auditing (e.g., inpatient, outpatient, professional fee)

LICENSES AND CERTIFICATIONS
Required

For inpatient/outpatient coding: RHIT, RHIA, or CCS certification from AHIMA is required

Company Profile:

Houston Methodist is one of the nation’s leading health systems and academic medical centers. The health system consists of eight hospitals: Houston Methodist Hospital, its flagship academic hospital in the Texas Medical Center, seven community hospitals and one long-term acute care hospital throughout the Greater Houston metropolitan area. Houston Methodist also includes a research institute; a comprehensive residency program; international patient services; freestanding comprehensive care clinics, emergency care and imaging centers; and outpatient facilities. Come lead with us!

Houston Methodist is an Equal Opportunity Employer.

Apply Now

Refine Your Search

quality assurance lead jobs in alexandria, la

Coding Quality Auditor

Coding Quality Auditor

Clinic Patient Representative Senior-Specialty Cardiology

Clinic Patient Representative Senior - Podiatry

Dean of Academics and Adult Education

Data Center Mechanical Engineering SME

Pharmacist in Charge - Long Term Care - Full Time

Licensed Clinical Social Worker (LCSW)

Laboratory Director

Nuclear Medicine-Rad Tech

National Account Manager - Foodservice

Director of Operations- Federal Civilian

Examiner Trainer Regional Lead

Compounding Pharmacist (Full -Time)Prince Edward Island, Canada

Senior Manager/Associate Director, Regulatory CMC Consultant (REMOTE)

Head of Clinical Operations (Oncology)

Alteryx Workflow Developer

Chief Nursing Officer Home Health

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