HCD Quality Analyst – Assistant Manager

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

📋 Description

• Supervise the activities conducted by the high cost drug audit program to ensure precision.

• Conduct quality assessments of coding audits.

• Provide guidance and support to staff within the HCD program.

• Create feedback sessions for auditors regarding audit findings.

• Recognize general training needs and trends.

⛳️ Requirements

• At least 5 years of pertinent experience in high cost drug coding.

• CPC Coding Certification is preferred.

• Pharmacy Tech Certification is preferred.

• Proficient skills in HCD coding.

• Experience in Payment Integrity, particularly in identifying overpayment issues for HCD/Infusion products.

• Strong decision-making abilities and sound judgment.

• Solid technical knowledge with a quick aptitude for learning new systems.

• Exceptional oral, presentation, and written communication skills.

• Capability to complete tasks efficiently and resolve issues within deadlines.

• Ability to mentor and instruct others.

• Strong organizational skills with attention to detail.

• Capacity to work both collaboratively in a team setting and independently as required.

• Proven flexibility and adaptability in various situations.

• Must be able to operate under deadlines and utilize independent decision-making skills across a range of scenarios.

• Requires a high level of accuracy in carrying out varied responsibilities.

• Proficient personal computer skills are necessary; self-motivation is essential to complete tasks promptly and meet deadlines.

• Strong interpersonal skills are essential.

🏝️ Benefits

• Up to 10% annual travel.

• Guidance and coaching through a mentoring program.

• Opportunities for both personal and professional development.