HCC Coding Quality Specialist

Job Summary

A company is looking for an HCC Coding Quality Specialist.

Key Responsibilities

• Perform complex retrospective analysis of medical record documentation to identify coding and billing errors
• Analyze audit findings to identify root causes of coding errors and provide second-level review of codes
• Provide technical support and training to internal coding staff regarding compliance and documentation

Required Qualifications, Training, and Education

• Valid coding credentials (e.g., CPC, CCS, or equivalent)
• Experience in medical coding and compliance
• Knowledge of coding guidelines and reimbursement methodologies
• Ability to maintain quality assurance percentages and coding accuracy
• Commitment to ongoing education and compliance with ethical coding standards