QA/Process Specialist - Medical Coding
Core
Lead a team of medical coders to ensure production goals and coding accuracy (95% target) for healthcare clients.
Role type
Senior IC medical coding team lead / QA specialist
Builds
Accurate medical code sets for hospital and clinic clients
Domain
Healthcare / Medical Coding / Reimbursement
Required skills
Medical coding guidelines (EM OP), quality assurance processes, team management, performance monitoring, training and coaching, regulatory knowledge (federal/state/payer), data analysis
Preferred skills
CPC or CCS certification, experience with revenue leakage reduction, continuous improvement methodologies
Technologies
EM OP coding systems, reporting tools
Responsibilities
Monitor coding staff performance against volume and accuracy metrics; Prepare daily operational reports and escalate issues; Review production and quality accuracy reports; Conduct monthly team meetings and annual performance evaluations; Maintain attendance records and time sheets; Mentor staff to maximize performance; Assist in full coding audits and special projects.
Seniority
Senior, hands-on IC with team leadership
