Qa/process Specialist - Medical Coding

Siding Template

95% coding quality accuracy rate
Hcc risk adjustment coding expertise
Daily production volume monitoring
The role is responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client goals

Job Summary

  • The role is responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client goals.
  • Candidates must possess extensive knowledge of hospital reimbursement systems and federal, state, and payer-specific regulations.
  • The position involves motivating team members through effective training, conducting monthly meetings, and managing performance evaluations.

Matching Summary

The role is responsible for the day-to-day production and quality functions of a team of coders specializing in meeting client goals.

Skills & Requirements

Must-have

  • 95% coding quality accuracy rate
  • HCC risk adjustment coding expertise
  • Daily production volume monitoring
  • Team training and coaching skills
  • Federal and payer-specific regulations

Nice-to-have

  • Strong communication across skill sets
  • Continuous improvement mindset
  • Revenue leakage prevention focus
  • High professional and ethical standards

Key Requirements

  • 5+ years of industry experience
  • CPC or CCS certification required
  • Graduate or Post Graduate in Life Science
  • Domain expertise in medical coding guidelines

Work Rights

Not specified

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