HCC Coding Quality Specialist

A company is looking for an HCC Coding Quality Specialist-3. Key Responsibilities Perform complex retrospective analysis of medical record documentation to identify coding and billing errors Provide second-level review of diagnosis, procedure, and billing codes to ensure compliance with regulations Provide technical support and feedback training to internal coding staff regarding coding compliance and documentation Required Qualifications and Education Recognized coding credential from AHIMA or AAPC; coding certification preferred (CPC or CCS) 5-7 years of experience coding and/or auditing in an acute care facility or clinic Familiarity with hospital outpatient billing processes and APC assignment Strong analytical skills and proficiency in Microsoft Office applications Experience with telecommuting and electronic medical records systems preferred

Jun 25, 2025 - 00:30

A company is looking for an HCC Coding Quality Specialist-3. Key Responsibilities Perform complex retrospective analysis of medical record documentation to identify coding and billing errors Provide second-level review of diagnosis, procedure, and billing codes to ensure compliance with regulations Provide technical support and feedback training to internal coding staff regarding coding compliance and documentation Required Qualifications and Education Recognized coding credential from AHIMA or AAPC; coding certification preferred (CPC or CCS) 5-7 years of experience coding and/or auditing in an acute care facility or clinic Familiarity with hospital outpatient billing processes and APC assignment Strong analytical skills and proficiency in Microsoft Office applications Experience with telecommuting and electronic medical records systems preferred