Quality Analyst - CPC (Remote)
About The Position
As a Quality Analyst, you will be responsible for the continuous auditing, evaluation, and quality assurance of behavioral health medical charts, coding compliance, and billing accuracy. You will serve as a subject matter expert, ensuring that our coding team maintains the highest levels of precision while adhering to strict HIPAA regulations and client-specific guidelines. The ideal candidate possesses exceptional deductive reasoning, a sharp eye for detail, and the communication skills necessary to provide constructive feedback and coaching to frontline coding teammates.
Requirements
- Active CPC (Certified Professional Coder) credential required.
- Minimum 1 years of Medical Billing and Coding experience, with at least 1 year specifically in a Quality Assurance, Auditing, or Senior Coder role.
- Expert-level mastery of CPT, ICD-10-CM, and E/M leveling tools.
- Exceptional deductive reasoning skills and an uncompromising attention to detail.
- Ability to clearly explain complex coding rationale and compliance rules to both technical peers and non-technical stakeholders.
- Excellent written and verbal communication; capable of coaching others constructively without sounding rigid.
- Curious, adaptable, organized, and highly efficient in a self-started, remote environment.
Nice To Haves
- Additional auditing credentials (e.g., CPMA) are a strong plus.
- Hands-on experience with Behavioral Health/Mental Health coding and billing highly preferred.
Responsibilities
- Conduct routine, objective quality reviews and audits of behavioral health coding, documentation, and billing submissions to ensure compliance with official coding guidelines.
- Identify trends, systemic issues, and individual coding errors. Use the AAPC CPT E/M MDM Leveling Grid/E/M Calculator to validate complex evaluation and management leveling.
- Deliver clear, actionable, and supportive feedback to Coding Teammates to improve accuracy and productivity.
- Partner with leadership (including coordination with stakeholders like Julienne Smith) to update auditing grids, identify training gaps, and streamline workflows.
- Safeguard patient data by ensuring all processed charts strictly adhere to HIPAA and internal security standards.
Benefits
- medical, dental, and vision insurance
- 401(k) with company match
- paid time off including vacation, sick leave, and holidays
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What This Job Offers
Job Type
Full-time
Career Level
Mid Level
Education Level
No Education Listed
