Certified Coding Quality Analyst

Job Summary

Ensuring the accuracy and compliance of medical coding, the full-time remote Coding Services Quality Analyst will perform audits, monitor coding practices, and provide training to optimize coding quality and minimize compliance risks.

Key Responsibilities

• Perform regular audits of coded medical records to ensure compliance with ICD-10, CPT, and HCPCS standards
• Monitor coding practices for adherence to federal and state regulations, including HIPAA and CMS guidelines
• Compile audit results and prepare detailed reports to identify trends and areas for improvement

Required Qualifications

• Associate's or Bachelor's degree in Health Information Management or a related field (preferred)
• Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required
• Minimum 5 years of experience in medical coding and auditing coded records
• Minimum 3 years of experience mentoring staff
• Strong understanding of medical terminology, anatomy, and coding guidelines (ICD-10, CPT, HCPCS)