Coding Quality Assurance (QA) Manager, Remote

📋 Description

• Lead, mentor, and manage a team of QA Specialists. Establish team goals, monitor productivity
• Oversee and perform comprehensive quality assurance reviews for coding completed by internal CDI
• Design, implement, and maintain standard operating procedures, audit workflows, scoring
• Act as a key subject matter expert (SME) during external payer audits (e.g., RADV, Medicare
• Evaluate third-party coding vendor accuracy rates against established SLAs. Deliver constructive
• Translate QA audit findings into actionable insights. Provide structured feedback and target

🎯 Requirements

• Bachelor’s Degree in health care management, nursing or related field or an Associate Degree with
• Minimum of 4 years of HCC coding experience with 2 years specifically focused on coding quality
• Active professional credentials from AAPC and/or AHIMA required (such as CRC, CCS, CPC, or CPMA).
• Deep mastery of ICD-10-CM coding, CMS Risk Adjustment guidelines, RADV audit rules, and clinical

🎁 Benefits

• Flexible work schedules and the ability to work remotely are available for many roles
• Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
• Robust time-off plan (21 days of PTO in your first year)
• Two paid volunteer days and 11 paid holidays
• 12 weeks paid parental leave for all new parents
• Six weeks paid sabbatical after six years of service