Job Summary
A company is looking for a Quality Coding & Documentation Specialist.
Key Responsibilities
- Perform retrospective reviews of ambulatory clinical documentation to ensure accurate patient acuity representation
- Collaborate with the quality team and primary care practices to enhance clinical documentation quality and compliance with CMS coding guidelines
- Analyze utilization and outcome reporting to identify trends and opportunities for improving quality initiatives
Required Qualifications
- Healthcare Degree or Healthcare Certification or 3 years of equivalent experience in a healthcare system or medical practice
- Knowledge of chronic and acute disease conditions, management, and treatment
- Understanding of value-based care principles
- Certified Coder from AHIMA or AAPC or Certified Medical Assistant (CMA) from AAMA
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