Medical Coding Quality Analyst

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

📋 Description

• Implement the appropriate coding classification standards and guidelines to ensure accurate coding of medical record documentation.

• Conduct quality assessments of records, including the verification of both electronic and handwritten medical record documentation.

• Evaluate the quality of completed work by coders to confirm compliance with established standards.

• Provide education to coders and other staff members regarding the appropriate coding guidelines.

• Responsible for investigating errors or missing documentation in medical records to facilitate accurate coding processes.

• Abstract and assign the correct ICD-10, HCPCS/CPT codes, including Level I & Level II modifiers as necessary for all diagnoses and procedures conducted in outpatient and inpatient environments.

• Assist in creating and maintaining processes and procedures for each assigned client related to system usage, billing/coding rules, and client-specific guidelines.

• Manage time efficiently to adhere to all required deadlines and timeframes for both client and departmental needs.

• Collaborate regularly with the Department Manager and other staff in a team-oriented environment.

• Ensure adherence to all applicable regulations, standards, and laws.

⛳️ Requirements

• Education: Bachelor’s Degree preferred or equivalent experience.

• Experience: A minimum of 5 years of experience in medical abstract coding/auditing Pro-Fee is required, with at least 3 years in coding audit or quality review roles.

• Certifications: Auditing Certification through AAPC (CPMA) is mandatory.

• Additional certifications (or eligibility for them) include:

• CPC

• CEMC

• CRC

• CPB

• Specialty certification

• CCS-P

• RHIT

🏝️ Benefits

• Comprehensive Benefits: Multiple tiers of medical, dental, and vision coverage — with medical plans starting at just $10 per pay period — along with customized benefit options for part-time and PRN employees, and more.

• Financial Protection & PTO: Life, accident, critical illness, hospital indemnity insurance, short- and long-term disability, paid family leave, and paid time off.

• Financial & Career Growth: Assistance with tuition for higher education and certification, loan assistance, and a 401(k) retirement plan with company matching.

• Employee Well-being: Programs focusing on mental, physical, and financial wellness (including free gym memberships, virtual care appointments, mental health services, and discount programs).

• Professional Development: Continuous learning and career advancement opportunities.