Quality Assurance Specialist, Coding Quality and Education
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Job Description
Quality Assurance Specialist responsible for ensuring coding accuracy and compliance in healthcare. Collaborating with teams to provide feedback and improve quality standards through training and reports.
Responsibilities:
- Reviewing coded accounts for compliance, quality, accuracy, and completeness
- Preparing quality reports and feedback for distribution
- Assisting with documenting coding policies and procedures
- Providing training and coaching to team members
- Identifying improvements and supporting optimization initiatives
- Complying with HIPAA and ethical coding standards
Requirements:
- Certified Coding Specialist (CCS) license or similar required
- Minimum five (5) years of medical coding and/or coding quality experience
- Understanding of ICD-10-CM, ICD-10-PCS, CPT, HCPCS
- Must remain current on coding guidelines and new codes
- Ability to work independently in a dynamic environment
- Excellent communication skills required
- High school diploma or equivalent required; bachelor’s degree preferred
Benefits:
- Committed to an inclusive environment
- Equal opportunity employer
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