HCC Coding Quality Specialist

This is a fully remote position, open to applicants in United States.

📋 Description

• Verify that the codes recorded are substantiated by the documentation present in the record and are accurately coded in accordance with Medicare guidelines, ICD-10-CM standards, and specific client protocols for the project.

• Present your findings in a manner that enables the coder to easily identify and learn from any mistakes made.

• Exhibit strong and professional communication abilities.

• Serve as a resource for HCC coding team members by possessing a comprehensive understanding of the project and coding guidelines.

• Adhere to the Risk Adjustment Data Abstraction Rules.

• Contribute to the development of PowerPoint presentations for training purposes.

• Maintain a quality score of 95% or higher as a requirement.

• Uphold an ongoing productivity level in accordance with project specifications.

• Ensure personal compliance with all privacy and security regulations and commit to safeguarding all Company confidential information, including but not limited to Personal Health Information.

• Align behavior with AHIMA's Standards of Ethical Coding as well as the Company’s Code of Ethics and Business Conduct, and support the Company’s Ethics and Compliance Program.

• Adhere to all internal policies and procedures.

• Consistent, predictable, and punctual attendance is mandatory.

⛳️ Requirements

• All auditors must hold certification from either the AAPC or AHIMA. (Apprenticeship designations are not accepted.)

• Acceptable credentials include CPC, CRC, CCS, or CCS-P.

• A minimum of 3 years of HCC coding experience along with 2 years of auditing experience is required.

• Global experience is preferred.

• Candidates must possess working knowledge and experience with systems such as EMRs, billing systems, abstraction platforms, etc.

🏝️ Benefits

• Accrued PTO

• Paid Holidays

• Medical/Dental/Vision Insurance

• 401k

• CEUs and more!