Certified Coding Specialist

Job Summary

A company is looking for a Provider Audit and Quality Assurance Specialist, Coding Quality and Education.

Key Responsibilities

• Conducts validation reviews for coding compliance, quality, accuracy, and completeness
• Analyzes audit findings to identify trends, risk areas, and educational opportunities
• Provides training and education to coders and providers to enhance coding quality performance

Required Qualifications

• Certified Coding Specialist (CCS) or similar certification required; RHIT or RHIA accepted
• Minimum five (5) years of medical coding and/or coding quality experience
• Minimum three (3) years of multi-specialty medical coding auditing experience required
• Understanding of ICD-10-CM, ICD-10-PCS, CPT, HCPCS coding compliance guidelines
• High school diploma or equivalent required; bachelor's degree or equivalent experience preferred