QA/Process Specialist - Medical Coding
Core
Oversee daily production and quality functions for a team of medical coders to meet client volume and accuracy goals.
Role type
QA/Process Specialist (Medical Coding)
Builds
Coding accuracy and production schedules for healthcare clients
Domain
Healthcare Revenue Cycle Management (RCM) / Medical Coding
Deliverable
production ML models | product features | dashboards & analysis | client delivery
Required skills
Medical coding guidelines, EM Oncology auditing, production scheduling, quality metrics analysis, team coaching, regulatory compliance (federal/state/payer), reimbursement systems
Preferred skills
CPC or CCS certification, Life Science/Pharmacy background, data trend analysis
Technologies
None stated
Responsibilities
Monitor coding staff performance against volume and accuracy metrics, prepare daily operational reports, conduct monthly team meetings and annual performance evaluations, mentor staff to maximize performance, maintain attendance and time sheet records, complete special projects like full coding audits
Seniority
Associate, hands-on IC with team management