Certified Coding Quality Specialist

Job Summary

To ensure optimal coding accuracy and compliance, the full-time remote Certified Coding Quality Specialist will perform complex analyses of medical records, provide second-level reviews of coding, and offer training and technical support to internal coding staff.

Key responsibilities:

• Conduct retrospective analyses to identify coding and billing errors and ensure compliance with relevant guidelines
• Provide second-level reviews of diagnosis and procedure codes, ensuring adherence to legal and procedural policies
• Train and support internal coding staff on compliance and documentation standards while maintaining coding quality metrics

Required qualifications:

• Minimum of 2 years of coding and/or auditing experience in inpatient and outpatient facilities
• Recognized coding credential from AHIMA or AAPC; CPC or CCS preferred
• Experience with electronic medical records systems and telecommuting
• Strong analytical skills and proficiency in Microsoft Office applications
• Ability to navigate various EMR environments and understand hospital outpatient billing processes