Lead - Healthcare - Coding Quality Auditor

Qualifications

• Minimum of 3-5 years of medical coding experience in a healthcare setting.
• Minimum of 2 years of coding audit or quality review experience preferred.
• Current coding certification such as:
• Certified Professional Coder (CPC)
• Certified Professional Medical Auditor (CPMA)
• Certified Coding Specialist (CCS)
• Certified Inpatient Coder (CIC)
• Registered Health Information Technician (RHIT) or
• Registered Health Information Administrator (RHIA) preferred
• Extensive knowledge of ICD-10-CM, ICD-10-PCS, CPT, and HCPCS coding systems.
• Strong understanding of CMS regulations, National Correct Coding Initiative (NCCI), Official Coding Guidelines, and payer-specific policies.
• Experience with electronic health records (EHR) and encoder software.
• Exceptional analytical and critical thinking skills.
• Strong knowledge of healthcare reimbursement methodologies.
• Ability to interpret complex clinical documentation.
• Excellent written and verbal communication skills.
• Strong attention to detail and organizational abilities.
• Ability to maintain objectivity while providing constructive feedback.
• Proficiency with Microsoft Office Suite and coding/audit software.
• Ability to work independently and collaboratively in a fast-paced environment.