Home Health Medical Coding QA Specialist

Overview

We are looking for a detail-oriented Quality Control for Coding Specialist to ensure the accuracy, compliance, and consistency of medical coding and billing practices. This role plays a vital part in maintaining the integrity of health data and optimizing the revenue cycle by implementing internal audits, reviews, feedback processes, and continuous improvement initiatives. You’ll be part of a team committed to Leadership, Excellence, Innovation, and a culture of Agility, Accountability, Collaboration, and Customer Centricity.

Key Responsibilities

• Delighting Our Customers & Stakeholders
  • Ensure coding accuracy using ICD-10, CPT, and applicable guidelines
  • Perform internal audits and peer reviews
  • Validate clinical documentation supports coded entries
  • Enforce compliance with HIPAA and payer requirements

• Growing Our Business
  • Reduce coding-related denials and rejections