Senior Coding Compliance Specialist

Quartz is seeking a skilled coding professional to support accurate, compliant, and high-quality claims processing as a Senior Coding Compliance Specialist This position will apply regulatory coding guidance, resolving complex claims and appeals, analyzing billing trends, and collaborating across teams to strengthen payment integrity and reimbursement accuracy.

The Senior Coding Compliance Specialist will investigate, implement, and audit the outcomes of coding and regulatory guidelines.

This position will serve as a subject matter expert for coding inquiries from internal and external customers.

Come Find your Spark at Quartz!

• Collaborate with a team that respects and values your coding expertise
• Access professional development opportunities to support your long-term career growth
• Starting salary based upon skills and experience: $56,600 - $70,600 plus robust benefits package
• Research and validate business decisions and system rationales to support edits and conduct testing to validate outcomes. Provide education as appropriate to providers and leadership.
• Analyze billing and coding patterns and identify outliers with potentially high-risk practices.
• Review and resolve appeals in system(s) by reviewing medical documentation and making determination. Work with Clinical Services teams as needed to resolve appeal cases.
• Research and respond to customer inquiries and tickets routed for coding expertise.
• Review, edit, and adjudicate claims that are pended and/or assigned in systems.
• Collaborate across multi-disciplinary teams to assure coding compliance.
• Conduct data analysis and reporting to support claim edits, denial trends, and leadership insights.
• Associate’s degree in medical coding with 5+ years of medical coding experiences OR high school equivalency with 8+ years of medical coding experience
• OR high school equivalency with 8+ years of medical coding experience
• Completion of medical coding program Certification in CPC, COC, RHIT, RHIA, CCA, and/or CCS
• Certification in CPC, COC, RHIT, RHIA, CCA, and/or CCS