Medical Coding Quality Assurance Specialist

Audit inpatient, outpatient, and day-surgery records.

Validate ICD-10, CPT, and HCPCS codes.

Review DRG/APC assignments and sequencing.

Document audits and maintain QA reports.

Provide feedback and support coder training.

Coordinate with CDI teams and assist in denial reviews.

Monitor coding trends and ensure compliance with guidelines.

Qualifications:

Bachelor's degree in medical or health related fields.

At least 3–5 years of hospital medical coding experience.

With 1–2 years of QA or coding audit experience (preferred).

Active coding certifications such as CCS, CIC, CPC, CPMA, or equivalent.

Strong knowledge of ICD-10-CM, ICD-10-PCS, CPT, and DRG/APC methodologies.

Experience using hospital EMR and encoder systems (e.g., 3M, Optum, Meditech).

Strong analytical skills and attention to detail.

• Good written and verbal communication skills.
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