State Licensed Coding Quality Analyst

Job Summary

Working remotely on a full-time basis, the State Licensed Coding Quality Analyst will conduct reviews on suspicious medical records, document decisions, and coordinate with team members to identify billing trends during standard business hours of 8am - 5pm CST.

Key responsibilities

• Conduct reviews on records identified as suspicious or potentially fraudulent using current coding guidelines
• Document decisions on reviews and enter notes in appropriate company systems
• Coordinate with team members to understand and analyze trends related to billing issues and coding practices

Required qualifications

• High School Diploma/GED
• Active and unrestricted coding certification from AHIMA (CCS, CCS-P or RHIT) or AAPC (CPC)
• 2+ years of coding experience in CPT medical coding
• 2+ years of medical record auditing experience
• Flexibility to work full-time hours and occasional overtime as needed