Job Description
Overview
We are looking for a detail-oriented Quality Control for Coding Specialist to ensure the accuracy, compliance, and consistency of medical coding and billing practices. This role plays a vital part in maintaining the integrity of health data and optimizing the revenue cycle by implementing internal audits, reviews, feedback processes, and continuous improvement initiatives. You’ll be part of a team committed to Leadership, Excellence, Innovation, and a culture of Agility, Accountability, Collaboration, and Customer Centricity.
Key Responsibilities
- Delighting Our Customers & Stakeholders
- Ensure coding accuracy using ICD-10, CPT, and applicable guidelines
- Perform internal audits and peer reviews
- Validate clinical documentation supports coded entries
- Enforce compliance with HIPAA and payer requirements
- Growing Our Business
- Reduce coding-related denials and rejections