HB Global QA Coder Auditor (QC) | Onsite

Work Setup: Onsite (QC)

License: Active PHRN License

Certification: Active CCS, CIC

Educational Attainment: Bachelor's degree in nursing or a related field (medical allied courses). Advanced degrees or certifications may be preferred.

Responsibilities:

• Supervise and coordinate the daily activities of the medical coding team to ensure timely and accurate coding of medical records.
• Review and audit coded data for accuracy, completeness, and compliance with official coding guidelines and payer requirements.
• Provide expert guidance on complex coding issues, including DRG change resolution, ICD-10-CM, ICD-10-PCS, CPT coding, and modifier usage.

Requirements:

• 5 years experience in Inpatient coding with exposure to multiple specialties
• 1 year experience in transplant cases
• 1 year experience as Quality Auditor