Coding Quality Analyst - National Remote

Freddie Mac; Plymouth (MN); Remote; USD 60,000 - 80,000; Full time

Job summary

Freddie Mac is seeking a skilled clinical coder to perform accurate coding reviews and recommendations in a remote work environment. Ideal candidates will hold professional coding certifications and possess substantial experience in medical coding. Join a collaborative team that values inclusion and career advancement opportunities, with a competitive hourly wage and comprehensive benefits.

Benefits

Comprehensive benefits package

401k contributions

Equity stock purchase options

Flexibility to work remotely

Qualifications

• Professional coder certification from AHIMA or AAPC required.
• 2+ years of experience in CPT/HCPCS/ICD-10 coding.
• Intermediate Microsoft and Adobe application skills necessary.

Responsibilities

• Perform clinical review of CPT, HCPCS, and modifiers assigned to codes.
• Determine accuracy of medical coding/billing and make payment recommendations.
• Identify aberrant billing patterns and maintain daily case review assignments.

Skills

Medical coding

Analytical mindset

Clinical review

Education

High School Diploma

Bachelor's degree

Tools

Microsoft applications

Adobe applications

Job description

Employer Industry: Healthcare Services

Why consider this job opportunity:
- Hourly pay up to $41.83 based on full-time employment
- Comprehensive benefits package, including 401k contributions and equity stock purchase options
- Opportunity for career advancement and development within the organization
- Flexibility to work remotely from anywhere within the U.S.
- Collaborative work environment with a focus on inclusion and diversity
- Recognition and rewards for performance in a challenging role

What to Expect (Job Responsibilities):
- Perform clinical review of CPT, HCPCS, and modifiers assigned to codes on claims in a telecommuting work environment
- Determine accuracy of medical coding/billing and make payment recommendations for claims
- Provide detailed clinical narratives on case outcomes and perform claim re-coding as necessary
- Identify aberrant billing patterns and trends, including evidence of fraud, waste, or abuse
- Maintain and manage daily case review assignments, ensuring compliance with quality and productivity standards

What is Required (Qualifications):
- High School Diploma (or higher)
- Professional coder certification with credentialing from AHIMA and/or AAPC, maintained annually
- 2+ years of experience as an AHIMA or AAPC Certified coder with experience in CPT/HCPCS/ICD-10 coding
- 1+ years of experience working in a team atmosphere in a metric-driven environment
- Intermediate level of experience with Microsoft and Adobe applications (Outlook, PowerPoint, Word, Excel, OneNote, Teams, PDF)

How to Stand Out (Preferred Qualifications):
- Bachelor's degree (or higher)
- Nurse (RN, LPN) with unrestricted and active license/certification
- Experience in healthcare claims processing or Fraud Waste & Abuse
- Strong medical record review experience and knowledge of health insurance industry terminology
- Analytical mindset with experience in medical terminology or coding

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