About the Role
The Coding Quality Specialist will monitor, review, and evaluate medical coding practices to ensure adherence to regulatory standards and internal policies, identifying areas for improvement and supporting ongoing education for coding staff.
Responsibilities
- Conduct regular audits of coded clinical records to verify accuracy and completeness
- Evaluate coding practices against current regulatory guidelines and organizational standards
- Identify discrepancies in coding documentation and recommend corrective actions
- Collaborate with coding teams to resolve complex or ambiguous cases
- Support the development and delivery of coding education and training programs
- Track and report coding quality metrics to leadership and compliance teams
- Maintain up-to-date knowledge of changes in coding guidelines and regulations
- Assist in the implementation of coding updates and policy revisions
- Work cross-functionally with clinical and billing departments to improve documentation practices
- Provide feedback to coders to enhance individual and team performance
- Ensure compliance with federal, state, and payer-specific coding requirements
- Participate in internal and external audits as needed
- Contribute to process improvements in coding workflows and systems
- Monitor trends in coding errors and recommend targeted interventions
- Support the organization’s commitment to data integrity and regulatory compliance
- Utilize coding software and electronic health record systems efficiently
- Maintain confidentiality of sensitive patient and organizational data
- Prepare detailed reports on audit findings and quality outcomes
- Serve as a resource for coding best practices across departments
- Stay current with industry developments in medical coding and health information management
Compensation
Competitive salary and comprehensive benefits package
Work Arrangement
Hybrid work model with both on-site and remote options
Team
Collaborative environment within a large integrated healthcare system
Why Join Us
- Opportunities for professional growth within a nationally recognized healthcare network
- Supportive work culture focused on quality, innovation, and patient-centered care
- Access to wellness programs, retirement planning, and continuing education resources
Equal Opportunity Employer
- We are committed to diversity, equity, and inclusion in our workforce
- All qualified applicants will receive consideration without regard to race, color, religion, gender, sexual orientation, national origin, age, or disability
Not available for this position
