Quality Assurance Specialist (Coding)

Overview

• The Coding Quality Assurance (QA) Specialist is primarily responsible for determining the appropriate CPT and ICD-10 codes to be applied to patient accounts for billing purposes based on providers’ documentation in the patient’s medical record.

Responsibilities

Responsibilities

• Assigns appropriate billing codes to patient accounts.  Performs ongoing analysis of medical record documentation for completeness.
• Provides feedback to Coders on coding discrepancies.
• Provides feedback to Coding Supervisor on documentation deficiencies.
• Performs special projects and other duties as assigned.

Qualifications

Qualifications

• High School Diploma or Equivalent.
• Four (4) years of Emergency Department (ED) and Hospitalist Medicine coding experience.
• Certified Professional Coder (CPC), or equivalent, preferred.