Quality Control Specialist

This is a fully remote position, open to applicants in Illinois, +1 more state.

📋 Description

• Ensure the precision of auditing and data entry for designated states

• Document performance audits related to quality

• Maintain statistics for quality assurance

• Provide training as necessary

• Conduct research and analysis of medical records when coding discrepancies arise

• Validate the accuracy of coding

• Assist in the reporting of audit results

⛳️ Requirements

• High school diploma or GED

• 2 years of business experience

• A mix of college-level education and relevant experience will be taken into account

• Strong interpersonal, verbal, and written communication skills

• Skills in coaching and mentoring

• Proficiency in PC applications including Windows, Word, Excel, Access, and other business-related databases

• Proven analytical and organizational abilities

• Current certifications - CPC, CCS-P, CCS, or CRC (risk adjustment coder) (preferred)

• 2 years of experience in risk adjustment coding (preferred)

• Experience in reviewing medical record information to determine appropriate coding according to CMS Coding Guidelines and/or Official ICD9/ICD10 Coding Guidelines (preferred)

• Experience in providing coding and documentation best practices to providers, clinicians, and business partners (preferred)

• Willingness to travel 20%–30% of the time, both in and out of state (preferred)

🏝️ Benefits

• Curated development plans and opportunities for professional growth

• 401(k) savings plan

• Pension plan

• Paid time off

• Paid parental leave

• Disability insurance

• Supplemental life insurance

• Employee assistance program

• Paid holidays

• Tuition reimbursement

• Other incentives

• Annual incentive bonus plan subject to plan terms and conditions

• Remote work from home