Certified Coding Quality Specialist

Job Summary

To enhance coding accuracy and educational initiatives, the full-time remote Certified Coding Quality Education Review Specialist will conduct coding quality reviews, identify educational needs, and prepare audit reports while adhering to industry standards and guidelines.

Key responsibilities

• Perform coding quality reviews for all coding professionals in compliance with relevant coding standards and guidelines
• Identify trends and recommend educational opportunities based on review findings
• Prepare and distribute audit summaries to facility CFOs and compliance teams

Required qualifications

• Healthcare-related Associate's degree or equivalent education, with a Bachelor's degree preferred
• Minimum five years of experience in coding quality reviews or coding audits, including three years in Inpatient hospital coding
• Familiarity with DRGs, APCs, IPPS, OPPS, and medical necessity/compliance guidelines
• Experience working with CDI teams and multiple EMRs
• Relevant certifications such as CCS, CCS-P, RHIA, RHIT, CPC, CIC, or COC