Coding Quality Assurance Coordinator

TeamHealth is proud to be the leading physician practice in the U.S. providing exceptional patient care, together. TeamHealth has been recognized by Newsweek as one of America’s Greatest Workplaces in Health Care for 2025. Becker’s Hospital Review names TeamHealth among the top 150 places to work in healthcare. We continue to grow across the U.S. from our Clinicians to Corporate Employees. Join us!

What we Offer

• Career Growth Opportunities
• A Culture anchored in a strong sense of belonging
• Benefits (Medical/Dental/Vision) begin the first of the month following 30 days of employment
• 401k (Discretionary match)
• Generous PTO
• 8 Paid Holidays
• Equipment Provided for Remote Roles

Overview

TeamHealth’s corporate coding compliance program requires that all coders be assessed monthly for accurate CPT coding skills. Records are reviewed after they have been coded, and before they have been billed. The Coding QA Coordinator, who is independent of the billing center’s coding department, reviews CPT codes assigned by TeamHealth coders for accuracy within corporate, CPT, and federal guidelines. The Coding QA Coordinator conducts audits on randomly selected records from TeamHealth’s billing centers daily and will also provide educational feedback to coders regarding audit outcomes.

Essentials Duties and Responsibilities

• Performs Quality Assurance reviews for roughly 35 - 40 coders each month
• The review requires extensive multi-tasking, which includes placing coded records on a QA hold, reviewing the claims for accuracy, and finalizing QA results
• Responsible for adhering to the QA close date while keeping up multiple billing centers’ close schedules to ensure that held claims are released for billing
• Coordinators must review coders’ work progress (number of claims coded) by utilizing the AES system in GE to determine which coders have enough coded claims to be placed on hold for QA review
• The AES system is monitored daily to determine if the coder’s claims meet the parameters for the monthly QA. This review may require the QA coordinator remove the hold and choose new parameters for the monthly review
• Once a coder’s production is ready to review, the coordinator uses the AES system to run a report, which is then edited and used in the QA review
• The coordinator is responsible for all state rules, including provider placement, as well as knowledge of all state FSCs
• The coordinator is responsible for knowing the TES edit guide or when to review it if a question is presented in a QA discussion
• Must utilize all the CCIS to ensure accuracy of reviewed claims
• Follows all policies and procedures as well as making the supervisor aware of any tools that need to be reviewed for correction
• The coordinator is responsible for entering all audited findings into CRMA from each record reviewed, along with supporting policy references and any additional supporting comments
• The coordinator and billing center discuss any QA findings
• Upon completion of the QA review and discussions with the billing center, the coordinator is responsible for making sure they receive all signed RCS from the coders by the QA due dates
• The coordinator then must be familiar with Microsoft Office to store all these in a shared folder for storage
• Maintaining EMR access requires the coordinator to facilitate login information for 100+ different facilities/logins working to maintain proper functioning and up to date information. The coordinator will work with Supervisors and facilities to request access, troubleshoot issues and maintain oversight
• Responsible for updating several reports that the QA management uses to ensure all QAs are complete
• Communicate with Billing Centers when documentation issues arise that need immediate attention
• Serve as back up to support VP of Revenue Analysis in performing merger/acquisition coding due diligence
• Complete special projects/reports as requested by the QA Management

Job Requirements: