Certified Coding QA Manager

Job Summary

Leading a high-performing team remotely, the full-time Certified Coding QA Manager will drive coding accuracy, develop Standard Operating Procedures (SOPs), and ensure audit readiness by evaluating documentation from internal and external partners.

Key responsibilities

• Lead, mentor, and manage a team of QA Specialists, establishing goals and monitoring productivity
• Oversee comprehensive quality assurance reviews for coding, ensuring compliance with ICD-10-CM guidelines
• Design and implement standard operating procedures and audit workflows to maintain coding quality standards

Required qualifications

• Bachelor's Degree in health care management, nursing, or a related field, or an Associate Degree with relevant experience
• Minimum of 4 years of HCC coding experience, with 2 years in coding quality assurance or auditing
• Active professional credentials from AAPC and/or AHIMA (e.g., CRC, CCS, CPC, or CPMA)
• Deep mastery of ICD-10-CM coding and CMS Risk Adjustment guidelines