Senior Coding Quality Assurance

Job Summary

A company is looking for a Senior Coding Quality Assurance professional to evaluate clinical coding and ensure compliance.

Key Responsibilities

• Evaluate clinical coding directives and recommend instructional processes for efficient coding practices
• Review documentation and coding for accuracy and compliance, and provide guidance on coding guidelines
• Develop relationships with clinical providers to communicate coding and documentation guidelines for the Risk Adjustment program

Required Qualifications

• High School Diploma or GED equivalent
• Coding Certification from AAPC or AHIMA (CPC, RHIT, CCS)
• 6+ years of ICD-10 and CPT coding experience
• 4+ years of Medicare Risk Adjustment/HCC Coding experience
• Proficient experience with multiple EMR and Coding Tool Software