Texas Licensed Coding Quality Specialist

Job Summary

A company is looking for a Medical Coding Quality Specialist Remote.

Key Responsibilities

• Conduct coding quality reviews of medical records to ensure accurate ICD-10-CM code assignment
• Provide formal reports on audit findings and conduct education for coders based on those findings
• Maintain current knowledge of coding regulations and assist in process improvements for coding outcomes

Required Qualifications

• Minimum of 5 years certified with a core coding credential from AHIMA or AAPC (no apprentice credentials accepted)
• Minimum of 3 recent years of production coding experience in Retrospective Risk Adjustment coding
• Minimum of 2 years experience conducting coder audits in the Risk Adjustment environment
• Required coding experience in Medicaid, Medicare, and Commercial with at least 1 year in Complete Code Capture
• Technical proficiency with basic computer applications, including Microsoft Outlook, Word, and Excel