Overview In this role you ensure the accuracy and compliance of medical coding through thorough records reviews and QA audits. You will identify coding deficiencies and support provider education and risk mitigation initiatives. You work within a QA-focused team to uphold coding quality and reduce risk across payers. This position offers impact by strengthening coding integrity and supporting continuous improvement. You will collaborate with providers and cross-functional teams to drive reliable, compliant coding practices.
Responsibilities- Review medical records for coding accuracy
- Conduct QA audits to identify deficiencies
- Document findings and provide actionable feedback
- Support provider education to improve coding quality
- Lead or participate in risk mitigation initiatives
- Collaborate with providers and other teams to ensure compliance
- Monitor and report on coding performance and improvement trends
- Assist in process improvements related to coding and documentation
Key requirements- 5+ years of professional coding experience
- 3+ years in HCC/risk adjustment
- 2+ years auditing/QA experience
- Active CCS-P, CRC, CPC, or COC certification
- strong attention to detail
- clear communication with providers
- analytical mindset
- medical coding
- QA auditing
- HCC/risk adjustment knowledge
