Remote Lead Certified Coder, QA & Operational Integrity

UPMC; Pittsburgh (Allegheny County); Remote; USD 95,000 - 130,000; Full time

Job summary

UPMC Health Plan seeks a Lead Certified Coder Quality Assurance Operational Integrity to guide QA and operational integrity across ISD products and services. This remote, full-time role focuses on mitigating risks, ensuring compliance, and driving efficiency through expert leadership and strategic QA initiatives.

Qualified candidates hold CPC certification and will mentor staff, coordinate projects, and educate leadership on best practices in risk management and auditing within healthcare and

Qualifications

• Certified coder with CPC certification required.
• Experience leading QA teams in healthcare quality/operational integrity.
• Strong knowledge of risk management in healthcare/insurance.

Responsibilities

• Lead QA and ISD QA team activities to drive results and efficiency.
• Educate leadership on risk management best practices and QA processes.
• Coach and mentor senior QA staff and oversee staff onboarding.

Skills

Leadership

Mentoring

Risk management

Training

Project management

Stakeholder engagement

Communication

Education

CPC Certification

Tools

Quality auditing tools

Job description

UPMC Health Plan seeks a Lead Certified Coder Quality Assurance Operational Integrity to guide QA and operational integrity across ISD products and services. This remote, full-time role focuses on mitigating risks, ensuring compliance, and driving efficiency through expert leadership and strategic QA initiatives.

Qualified candidates hold CPC certification and will mentor staff, coordinate projects, and educate leadership on best practices in risk management and auditing within healthcare and