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15 часов назад

QA Coding Specialist

Формат работы
remote (только USA)
Тип работы
fulltime
Грейд
middle
Английский
b2
Страна
US
Вакансия из списка Hirify.GlobalВакансия из Hirify Global, списка международных tech-компаний
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Описание вакансии

Текст:
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TL;DR
QA Coding Specialist (Medical Coding Audit): Reviewing onshore and offshore medical billers and coders for accuracy, regulatory compliance, and adherence to industry standards with an accent on coding audits, oncology billing, and performance improvement. Focus on analyzing audit data, preparing dashboards and reports, educating coding staff, and driving compliance across partner practices.

Location: United States; remote

Company

hirify.global supports community oncologists through a patient-centric, physician-driven, and technology-powered model for cancer and other disease care.

What you will do

  • Conduct quality reviews of onshore and offshore medical billers and coders for accuracy, compliance, and adherence to coding standards.
  • Perform targeted, focused, random, pre-bill, performance improvement, and established coder quality reviews.
  • Prepare audit reports, analyze data, build dashboards, and present findings to RCM leadership, compliance, and partner practices.
  • Develop educational materials and train coding staff to achieve a 95% accuracy rate.
  • Abstract procedural service codes across imaging, medical oncology, pathology, and E/M specialties.
  • Collaborate with leadership, compliance, and risk management on federal, state, and local regulatory requirements.

Requirements

  • CPC or another professional coding certification required.
  • 3+ years of medical coding auditing experience required.
  • Strong communication and interpersonal skills.
  • Proficiency with Microsoft Office products.
  • Ability to work independently, collaborate with a team, and meet deadlines.
  • Demonstrated ability to use data to support decisions and drive organizational behavior change.

Nice to have

  • CPMA certification.
  • Medical oncology and radiation oncology coding experience.

Culture & Benefits

  • Remote work arrangement in the United States.
  • Values-driven environment focused on improving care for patients living with cancer and other diseases.
  • Opportunity to support independent physicians and partner practices through coding quality and education.
  • Collaboration with professionals in oncology, urology, technology, and finance.

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