About CareVision CareVision is an Australian care management software platform purpose-built for the aged care, disability (NDIS), and social and community services sectors. Our platform helps care organisations manage the full client journey — from intake
Join our dynamic team and make a meaningful impact in the healthcare industry. Youll play a pivotal role in ensuring accurate claims processing while advancing your career in a supportive and innovative environment. Enjoy competitive benefits upon hire, ongoing professional development, and the satisfaction of helping others every day. Take the next step in your career with Med-Metrix! Experience these exceptional benefits when you join Med-Metrix! 8-Hour Shifts, Fixed Weekends Off Day 1 HMO with 2 of your dependents covered for FREE Group Life Insurance Medical Cash Allowance Rice Allowance Clothing Allowance Holiday Gift Bereavement Assistance Free Lunch Daily Paid Time Off Training and Staff Development Employee Engagement Activities Opportunities for Internal Mobility Job Purpose The Quality Analyst, Inpatient Coding collaborates with internal staff in the development of improved capabilities in the areas of documentation, coding, and compliance. The Quality Analyst, Coding will assess and review the overall quality of coding on accounts completed by Medical Coders. The Quality Analyst, Coding, ensures adherence to workflows and ethical coding. The position requires advanced knowledge of professional coding (CPT, ICD-10-CM and HCPCS). The Quality Analyst, Inpatient Coding is responsible for designing and implementing quality coding review programs and communicating review findings and recommendations to coding management. The position obtains statistics and the information necessary to assess risk for all areas of coding. Duties and Responsibilities Sets team direction, resolves problems and provides guidance to members of own team Lead, coach, recognize and develop a team of Employees in all aspects of the job to meet objectives and maintain company culture, polices, goals and procedures Administer the Quality Assessment process to ensure all quality standards/targets can be met Daily management of all operational processes to ensure that quality, efficiency and productivity standards/targets are met Acts as client contact for day-to-day operational issues and staff assignments. Escalate any client concerns immediately to Medical Coding Manager or General Manager. Review and analyze reports, records, and data to meet and exceed client and company objectives. Collaborate with all workgroups to resolve issues that impact internal and external customers. Rewarding and disciplining employees; addressing complaints and resolving problems Look constantly for development as well as continuous improvement for the entire team. Ensure that the employees follow their schedules properly as designed. Strive for new ways to increase the opportunities of efficient, accurate work assignments. Handle complaints, questions, and queries as necessary. Documenting general reports on each team member’s performance and targets as well as ensuring that they exceed the targets. Monitor systems to ensure optimal performance. Disseminates changes in guidelines and rules; monitor changes in laws, regulations, and policies that impact clinical documentation, reimbursement to assure compliance. Foster an environment of teamwork and service excellence within the department. Participate in performance improvement activities. Assist in the establishment of, implementation and maintenance of a formalized review process to ensure compliance with contractual agreements regarding accuracy rates. Assist in the creation, monitoring and standardization of company policies and procedures to monitor the success of the data quality management plan, review our and our clients areas of risk, investigate identified issues, report data analyses and take appropriate steps to correct any violations. Make recommendations to ensure the highest compliance rate with the Med-Metrix quality management plan.
As a Medical Billing Coding Specialist , you will be responsible for reviewing patient medical records, assigning accurate codes to diagnoses, procedures, and services performed, and ensuring that all billing submissions comply with the relevant coding
The Coding Quality Manager is responsible for developing and implementing coding audit monitoring and education activities for providers and coders, in support of the organization’s adherence to applicable CMS requirements, official coding guidelines, government regulations and internal