Certified Coding Quality Analyst

Job Summary

Working remotely on a full-time basis, the Certified Coding Quality Analyst will conduct coding reviews of medical records and claims, ensuring compliance with regulatory requirements while documenting findings and participating in process improvement initiatives.

Key responsibilities:

• Conduct coding reviews of medical records and supporting documentation against submitted claims for accuracy
• Process and review claims in a timely manner, meeting production and quality goals
• Document coding review findings and serve as a coding resource for the investigation team

Required qualifications:

• High School Diploma/GED
• One or more coding credentials: RHIA, RHIT, CCS-P, CCS, CPC, or COC
• 3+ years of experience in medical coding with a focus on facility and physician coding
• 3+ years of experience in reviewing and analyzing coding issues
• Intermediate proficiency in Microsoft Office, including Outlook, Excel, and Word