Coding Quality Analyst - National Remote

Freddie Mac; Dallas (TX); Remote; Full time

Job summary

A leading healthcare services company is seeking a detailed-oriented medical coder to conduct reviews and document decisions on suspicious records. The role offers remote work flexibility, comprehensive benefits, and opportunities for career advancement. Ideal candidates should have relevant coding certifications and experience in auditing.

Benefits

Comprehensive benefits package including 401k contributions

Equity stock purchase options

4 weeks of on-the-job training

Qualifications

• 2+ years of coding experience in CPT medical coding.
• 2+ years of medical record auditing experience.

Responsibilities

• Conduct reviews on records identified as suspicious or potentially fraudulent using current coding guidelines.
• Document decisions on reviews and enter notes in the appropriate company systems.
• Coordinate with team members to understand trends and schemes related to billing and coding issues.

Skills

Medical coding

Auditing

Education

High School Diploma or GED

Certified Coder AHIMA (CCS, CCS-P, or RHIT) or AAPC Certified Coder (CPC)

Tools

Encoder Pro

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Salary up to $46.35 per hour
- Comprehensive benefits package including 401k contributions and equity stock purchase options
- Opportunity for career advancement and growth within the organization
- Work remotely from anywhere within the U.S.
- Supportive and inclusive work culture focused on improving health outcomes
- 4 weeks of on-the-job training to ensure success in the role

What to Expect (Job Responsibilities):
- Conduct reviews on records identified as suspicious or potentially fraudulent using current coding guidelines
- Document decisions on reviews and enter notes in the appropriate company systems
- Present and discuss decisions made with relevant internal and external individuals/groups
- Coordinate with team members to understand trends and schemes related to billing and coding issues
- Support the PNI in research, issues, and inquiries related to medical coding and auditing

What is Required (Qualifications):
- High School Diploma or GED
- Certified Coder AHIMA (CCS, CCS-P, or RHIT) or AAPC Certified Coder (CPC)
- Must be 18 years of age or older
- 2+ years of coding experience in CPT medical coding
- 2+ years of medical record auditing experience

How to Stand Out (Preferred Qualifications):
- Experience in Behavioral Health
- Familiarity with fraud, waste, abuse, and error
- Knowledge of CMS 1500 and UB04 data elements
- Familiarity with Encoder Pro

#HealthcareServices #MedicalCoding #RemoteWork #CareerGrowth #JobOpportunity