Job Summary
A company is looking for an HCC Coding Quality Specialist responsible for reviewing the accuracy of HCC coded records.
Key Responsibilities
- Review and ensure accuracy of HCC coded records according to Medicare and ICD-10-CM guidelines
- Support findings to help coders identify and learn from errors
- Maintain a quality score of 95% or higher and comply with all privacy and security regulations
Required Qualifications, Training, and Education
- Must be certified through AAPC or AHIMA (CPC, CRC, CCS, or CCS-P)
- At least 3 years of HCC coding experience with 2 years of auditing experience
- Working knowledge of EMRs, billing systems, and abstraction platforms
- Proficient in Microsoft Excel and Outlook
- Ability to work independently from home with a reliable internet connection
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