Quality Assurance Auditor, Outpatient Facility Coding (Team Lead)

About Exela

Exela is a business process automation (BPA) leader, leveraging a global footprint and proprietary technology to provide digital transformation solutions enhancing quality, productivity, and end-user experience. With decades of expertise operating mission-critical processes, Exela serves a growing roster of more than 4,000 customers throughout 50 countries, including over 60% of the Fortune® 100. With foundational technologies spanning information management, workflow automation, and integrated communications, Exela's software and services include multi-industry department solution suites addressing finance & accounting, human capital management, and legal management, as well as industry-specific solutions for banking, healthcare, insurance, and public sectors. - Through cloud-enabled platforms, built on a configurable stack of automation modules, and 17,500+ employees operating in 23 countries, Exela rapidly deploys integrated technology and operations as an end-to-end digital journey partner.

Health & Wellness

We offer comprehensive health and wellness plans, including medical, dental and vision coverage for eligible employees and family members; paid time off; and commuter benefits. In addition, supplemental income protection including short term insurance coverage is available. We also offer a 401(k)-retirement savings plan to assist eligible employees in saving for their retirement. Participants are provided access to financial wellness resources and retirement planning services.

Military Hiring

Exela seeks job applicants from all walks of life and backgrounds including, but not limited to, those who are transitioning military members, veterans, reservists, National Guard members, military spouses and their family members. Individuals will be considered no matter their military rank or specialty.

Team Leader, Outpatient Coding Compliance

Summary of Responsibilities: This position provides team lead duties and QA support to employees and clients.

LexiCode is the leading provider of HIM Coding and Consulting Services nationwide and our exceptional employees make this possible. For more than 35 years LexiCode has provided quality HIM coding and consulting services to healthcare providers nationwide. Our team works to enhance operations in every type and size of healthcare provider environment. Today LexiCode, an Exela brand, remains the industry leader in coding compliance solutions. LexiCode is required by state specific laws to include the salary range for this role when hiring a resident in applicable locations. The salary range for this role is $30.00-$41.00 an hour. Specific compensation for the role will vary within this range based on factors such as experience, credential, demonstration of skill and knowledge, or geographic location.

Job Description

Essential Functions:

Team Lead Duties estimated at 75% of time

• Manage and coordinate Quality Assurance (QA) workload distribution among QA Analysts to ensure appropriate QA coverage for each for SLA and Prebill on a daily basis.
• Responsible for monitoring assigned coder and client’s quality scores using audit reports. Recommend coder corrective action plans as necessary based on these audit results.
• Responsible for reviewing coders on 100% QA for domestic and offshore teams, then recommending the next QA steps for the coder (approve reduced QA, start on quality PIP, etc.), in partnership with Employee Manager(s) and Account Manager(s).
• Manage client quality SLA’s for internal and external stakeholders in partnership with AMs and Ops Directors.
• Coordinate education and training for coders with the Directors,AMs and the Education Team.
• Review QA PCS reporting for appropriate entries each Monday.
• Assist QA Director in creating client QA deliverables (monthly reports/monthly QA letters).
• Maintaining all users and projects in the LAD audit tool each month.
• Onboard new QA and acclimate to systems and client documentation.
• Conduct Peer Reviews on QA Analysts and report results to Coding Compliance and Education Director.
• Answer coding and QA questions via email as requested.
• Knowledgeable and responsive to Clients and AMs as needed regarding QA for their accounts and/or employees.
• Report issues/concerns with QA to the Coding Compliance and Education Director.
• Other tasks duties and responsibilities as assigned.
  
  

QA/Compliance estimated at 25%of time

• Analyze ICD-10-CM/PCS, CPT and/or HCPCS codes in accordance with LexiCode negotiated engagements for nationwide healthcare providers who are remote clients of LexiCode. These code assignments are based on the employee’s interpretation of patient documentation, furnished by the Client. The employee’s interpretation is made in accordance and with regards to official CMS approved (AHA and AMA) coding guidelines and under the supervision of the Remote Services Management.
• Auditing is accomplished in a prompt and reasonable timeframe in accordance with productivity and accuracy standards found in the Employee Handbook or designated based on specific engagement requirements.
• Demonstrate senior level coding skills and knowledge.
• Update skill and knowledge levels in accordance with CMS approved (AHA and AMA) coding changes.
• Complies with confidentiality standards, including HIPAA privacy regulations, found in the Employee Handbook.
  
  

LexiCode Offers

• Med, Dental, Vision, Rx, 401k, PTO and Holidays, STD, LTD
• Flexible Schedules
• Excellent hourly compensation
• Guarantee full time hours, not hired based on contract
• Computer with dual monitors and Encoder
• $3000.00 Referral bonuses
• Remote education platform, with training and brush up for many specialty skill sets
• CEU - free and reimbursement
• Reimbursement for certain additional certifications
  
  

Required Experience

The employee must have at least 3 years of experience of auditing and coding the record type they are assigned to work on.

Educational Requirements

Completion of a Health Information bachelors’ or associates’ degree program with RHIA or RHIT credential are highly preferred and desired. Other scholastic accomplishments of a healthcare nature will be

considered.

Required Licenses And Certificates

Employees must maintain a coding or health information credential appropriate for their work assignment. RHIA, RHIT or CCS credentials are highly preferred and desired. Other credentials of a healthcare nature may be considered.

EEO Statement

Exela is committed to creating a diverse environment and is proud to be an equality opportunity employer. Qualified applicants will considered for employment without regard to their race, color, creed, religion, national origin, ancestry, citizenship status, age, disability, gender/sex, marital status, sexual orientation, gender identity, gender expression, veteran status, genetic information, or any other characteristic protected by applicable federal, state, or local laws.

Exela recruiters or representatives will only contact you from emails ending with @exelaonline.com, @exelatech.com, @lexicode.com, @rustconsulting.com or @ersgroup.com. We would never ask you for payment or ask you to deposit a check into your personal bank account during the recruitment process.