Remote Quality Assurance Coding Specialist

Job Summary

A health care provider has an open position for a Remote Quality Assurance Coding Specialist.

Candidates will be responsible for the following:

• Completing reviews of focused claims diagnosis codes conducted by another Health Plan Department
• Review the coding of diagnoses and verifying the proper ICD-9-CM codes were assigned by the HCC Coding Specialist
• Monitoring the assignment of the principal and secondary diagnoses and procedures

Qualifications Include:

• Graduate of an approved Health Record Administration or Accredited Medical Record Technician program (RHIA/RHIT or eligible) or a certified coding program
• Five (5) years of coding experience in a health care setting required
• Extensive knowledge of ICD-9 and CPT classifications and coding of diagnoses and procedures is required
• In-depth knowledge of medical terminology, human anatomy/physiology, pharmacology, and pathology is required
• The ability to problem solve and to communicate in a professional manner with staff and other health care professionals is essential