HCC Coding Quality Specialist

Job Summary

A company is looking for an HCC Coding Quality Specialist-3.

Key Responsibilities

• Perform complex retrospective analysis of medical record documentation to identify coding and billing errors
• Provide second-level review of diagnosis, procedure, and billing codes to ensure compliance with regulations
• Provide technical support and feedback training to internal coding staff regarding coding compliance and documentation

Required Qualifications and Education

• Recognized coding credential from AHIMA or AAPC; coding certification preferred (CPC or CCS)
• 5-7 years of experience coding and/or auditing in an acute care facility or clinic
• Familiarity with hospital outpatient billing processes and APC assignment
• Strong analytical skills and proficiency in Microsoft Office applications
• Experience with telecommuting and electronic medical records systems preferred