Certified Coding Specialist

Job Summary

A company is looking for a Coding Quality Improvement Specialist.

Key Responsibilities

• Audit risk adjustment coding to ensure accuracy and compliance with CMS guidelines
• Develop and implement Clinical Documentation Improvement (CDI) programs and provider education initiatives
• Conduct pre-claim and retrospective audits to identify trends and areas for improvement in coding and documentation

Required Qualifications

• Minimum of 4 years in a provider supporting role with ICD-10 auditing experience
• Current coding certification (CRC, CPC, or CPC-H) required
• High school diploma required; Bachelor's degree in Healthcare, Finance, or Business preferred
• Advanced knowledge of ICD-9-CM, ICD-10-CM, CPT, HCPCS coding, and medical terminology
• Proficient in Microsoft Office Suite and coding compliance standards