Certified Coding Quality Specialist

Job Summary

A company is looking for a Remote Coder Quality Specialist.

Key Responsibilities

• Conduct coding quality reviews of medical records to ensure accurate ICD-10-CM code assignment
• Provide formal reports on audit findings and conduct education for internal and external coders
• Maintain current knowledge of coding regulations and assist in process improvements

Required Qualifications, Training, and Education

• Minimum of 5 years certified with a core coding credential from AHIMA or AAPC (CCS, CCS-P, CPC, CRC)
• Minimum of 3 years of recent production coding experience in Retrospective Risk Adjustment coding
• Minimum of 2 years experience conducting coder audits in the Risk Adjustment environment
• Required code set knowledge and coding experience in Medicaid, Medicare, and Commercial
• Ability to work independently in a remote environment