Certified Coding Quality Analyst

Job Summary

A company is looking for a Coding Quality Analyst, Remote.

Key Responsibilities:

• Perform clinical review of CPT, HCPCS, and modifiers on claims
• Determine accuracy of medical coding/billing and payment recommendations
• Identify aberrant billing patterns and trends, recommending providers for review

Required Qualifications:

• High School Diploma / GED
• Certified Coder (AHIMA or AAPC) or Licensed Nurse with relevant experience
• 2+ years of experience in medical coding or nursing with auditing experience
• 1+ years of experience in a metric-driven team environment
• Intermediate experience with Microsoft & Adobe applications