Quality Control Specialist - Work from Home

HCSC•Chicago, IL

1d•Remote

About The Position

At HCSC, employees are described as central to the business and its success. The company offers curated development plans to support employee growth and career development. Under supervision, the Quality Control Specialist ensures the accuracy of auditing and data entry for assigned states. The role documents quality performance audits, maintains quality assurance statistics, and provides training as needed. It also researches and analyzes medical records when coding discrepancies are identified, validates coding accuracy, and supports reporting audit findings. This is a telecommute role that may be performed remotely from anywhere in the continental United States except California, New York, Alaska, and Hawaii. The role requires travel 20%–30% of the time, in and out of state. The base pay range is $22.54–$40.31; exact compensation may vary based on skills, experience, and location. The position aligns with an annual incentive bonus plan subject to its terms and conditions.

Requirements

High school diploma or GED.
Two years of business experience; a combination of college-level education and experience will be considered.
Clear and concise interpersonal, verbal, and written communication skills to facilitate learning.
Coaching and mentoring skills.
PC experience with Windows, Word, Excel, Access, and other business-related or associated databases.
Demonstrated analytical and organizational skills.

Nice To Haves

Current CPC, CCS-P, CCS, or CRC (risk adjustment coder) certification.
Two years of risk adjustment coding experience.
Experience reviewing medical record information to identify appropriate coding based on CMS Coding Guidelines and/or Official ICD-9/ICD-10 Coding Guidelines.
Experience providing coding and documentation best practices to providers, clinicians, and business partners.
Ability to travel 20%–30% of the time, in and out of state.