Certified Coding Specialist

A company is looking for a Provider Audit and Quality Assurance Specialist, Coding Quality and Education.

Key Responsibilities

Conducts validation reviews for coding compliance, quality, accuracy, and completeness

Analyzes audit findings to identify trends, risk areas, and educational opportunities

Provides training and education to coders and providers to enhance coding quality performance

Required Qualifications

Certified Coding Specialist (CCS) or similar certification required; RHIT or RHIA accepted

Minimum five (5) years of medical coding and / or coding quality experience

Minimum three (3) years of multi-specialty medical coding auditing experience required

Understanding of ICD-10-CM, ICD-10-PCS, CPT, HCPCS coding compliance guidelines

High school diploma or equivalent required; bachelor's degree or equivalent experience preferred