Quality Control Specialist - Work from Home

Health Care Service Corporation•Chicago, IL

3d•$46,883 - $83,845•Remote

About The Position

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 of 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. Travel of 20%–30% in and out of state is listed as a preferred job requirement.

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 the learning process.
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.