Medical Coding Quality Analyst

📋 Description

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

• Conduct quality assessments of records, verifying both electronic and handwritten medical record documentation.

• Evaluate the quality of completed work by coders to ensure adherence to established standards.

• Provide education to coders and other personnel on the correct coding guidelines.

• Investigate errors or missing documentation in medical records to facilitate accurate coding processes.

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

• Assist in developing and maintaining processes and procedures for each assigned client concerning system use, billing/coding rules, and specific client guidelines.

• Effectively manage time to meet all client and departmental deadlines and requirements.

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

• Ensure compliance with all applicable regulations, standards, and laws.

⛳️ Requirements

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

• Experience: 5 years of medical abstract coding/auditing Pro-Fee experience required. At least 3 years of experience in coding audits or quality review work is necessary.

• Certifications: Auditing Certification through AAPC (CPMA) required.

• Additional certifications (or eligibility for them):

• CPC

• CEMC

• CRC

• CPB

• Specialty certification

• CCS-P

• RHIT

🏝️ Benefits

• Comprehensive Benefits: Multiple levels of medical, dental, and vision coverage — with medical plans starting at just $10 per pay period — tailored 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: Higher education and certification tuition assistance, loan assistance, and a 401(k) retirement package with company match.

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

• Professional Development: Ongoing learning and career advancement opportunities.