Certified Coding QA Lead

A company is looking for a Clinical Risk Adjustment QA Coding Lead. Key Responsibilities Assist Managers with clinical pends and over-read feedback Review daily reports for QA scores and ensure collaboration among cross-functional teams Handle individual data entry production and assign manual assignments as necessary Required Qualifications, Training, and Education Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA, etc.) through AAPC and/or AHIMA Minimum of 5 years coding experience, specifically in Medicare and Commercial Risk Adjustment Preferred experience in facility coding (OPPS/IPPS) and Health Plan Risk Adjustment Data Validation Audit (RADV) Strong organizational skills and ability to work independently in a remote environment Advanced knowledge of medical terminology and coding resources

May 5, 2025 - 03:28
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Certified Coding QA Lead
A company is looking for a Clinical Risk Adjustment QA Coding Lead. Key Responsibilities Assist Managers with clinical pends and over-read feedback Review daily reports for QA scores and ensure collaboration among cross-functional teams Handle individual data entry production and assign manual assignments as necessary Required Qualifications, Training, and Education Current Coding Certification (CPC, CPC-P, CPC-H, CPC-I, CRC, CCS, RHIT, RHIA, etc.) through AAPC and/or AHIMA Minimum of 5 years coding experience, specifically in Medicare and Commercial Risk Adjustment Preferred experience in facility coding (OPPS/IPPS) and Health Plan Risk Adjustment Data Validation Audit (RADV) Strong organizational skills and ability to work independently in a remote environment Advanced knowledge of medical terminology and coding resources