[Hiring] Coding Quality Documentation Specialist @Zotec Partners

Role Description

As a Coding Quality Documentation Specialist, you will play a vital role in ensuring the accuracy, integrity, and compliance of medical coding and provider documentation within Zotec Partners.

• Audit & Compliance: Conduct thorough audits of charges to validate coding accuracy, prepare audit reports, and recommend process improvements to enhance compliance and quality outcomes.
• Medical Record Review: Evaluate medical records to ensure documentation accurately reflects the severity of illness, medical decision-making, and services rendered, supporting appropriate E/M level assignment, diagnostic testing, and procedures.
• Documentation Feedback: Deliver written summaries of findings to providers, including guidance on clinical documentation improvement (CDI), documentation standards, and the importance of complete and accurate health records.
• Provider & Coder Education:
  • Provide timely, accurate responses to coding, documentation, and billing inquiries.
  • Assist with onboarding new providers by reviewing coding and documentation practices, offering constructive feedback, and distributing educational resources.
  • Deliver targeted training to coding personnel based on audit results and evolving regulatory requirements.
• Professional Development: Maintain active coding certification(s), stay current with coding guidelines, payer rules, and compliance regulations, and pursue continuous skill development in auditing, compliance, and documentation practices.
• Collaboration & Communication: Partner with cross-functional teams to support projects and departmental initiatives, ensuring alignment with organizational goals and regulatory standards.

Qualifications

• Nationally recognized coding certification (e.g., CPC, CCS, RHIT, RHIA) is required
• Minimum of 5 years of specialty-specific coding experience. At least 1 year in a senior or lead auditing role preferred
• Proficiency in Microsoft Excel for reporting and tracking
• Familiarity with medical coding software and audit reporting tools
• Strong knowledge of coding guidelines, regulatory compliance, and clinical documentation requirements
• Excellent written and verbal communication skills with the ability to provide clear, constructive feedback
• Strong analytical and problem-solving skills with a keen attention to detail
• Ability to work independently while fostering collaboration across departments

Benefits

• Enjoy a network of highly experienced professionals
• Operate with autonomy yet have the resources and backing of other professionals in a similar role
• Entrepreneurial and enterprising spirit within the team