Coding Services Quality Analyst

AAPC•Salt Lake City, UT

16d•Remote

About The Position

The Coding Services Quality Analyst ensures the accuracy, compliance, and quality of medical coding and documentation within healthcare records. This role is essential in maintaining regulatory standards, supporting accurate coding processes, and minimizing compliance risks. The Quality Analyst collaborates with the Coding Services Manager and Director. The Quality Analyst will provide feedback and necessary training as needed.

Requirements

Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or equivalent certification required.
Minimum 5 years of experience in medical coding.
Minimum 5 years of experience auditing coded records.
Minimum 3 years of experience mentoring staff.
Familiarity with various EHR systems and coding software.
Strong understanding of medical terminology, anatomy, and coding guidelines (ICD-10, CPT, HCPCS).
Attention to detail and analytical thinking.
Proficiency in auditing and quality assurance practices.
Strong communication and interpersonal skills to provide constructive feedback.
Ability to manage time and prioritize tasks effectively.
Proficiency in Windows, Excel, Word, PowerPoint
Strong ability to troubleshoot
Experience working with diverse teams and a global workforce.

Nice To Haves

Associate's or Bachelor's degree in Health Information Management, or a related field (preferred).

Responsibilities

Perform regular audits of coded medical records to ensure compliance with ICD-10, CPT, and HCPCS standards.
Identify and correct coding errors to optimize coding accuracy and minimize denials.
Evaluate documentation to confirm it supports the assigned codes.
Monitor coding practices for adherence to federal and state regulations, including HIPAA, CMS guidelines, and other applicable standards.
Support the organization in maintaining compliance with internal policies and external audits.
Compile audit results and prepare detailed reports to identify trends, gaps, and areas for improvement.
Track quality metrics and provide recommendations for process enhancements.
Provide feedback and training to medical coders on identified errors and best practices.
Assist in the development and delivery of educational materials on coding updates and guidelines.
Work closely with Coding Services Manager and Coding Services Director.