Qa / Process Specialist - Medical Coding

Huron Consulting Group Inc

95% coding quality accuracy rate
Hcc risk adjustment coding knowledge
Production and qa metrics 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 federal, state, and payer-specific regulations pertaining to documentation and billing.
  • The position involves motivating team members through effective training and conducting monthly meetings and annual 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 knowledge
  • Production and QA metrics monitoring
  • Team training and performance coaching
  • Medical diagnosis and treatment coding

Nice-to-have

  • Strong communication across skill sets
  • Continuous improvement focus
  • Revenue leakage prevention strategies
  • High degree of professional ethics
  • Data pattern identification skills

Key Requirements

  • 5+ years industry experience in IVR and Surgery coding
  • CPC or CCS certification required
  • Graduate or Post Graduate in Life Science or related discipline
  • Deep understanding of HCC risk adjustment guidelines

Work Rights

Not specified

Tailored Resume

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