[Hiring] Quality Control Specialist @Health Care Service Corporation

Role Description

Under supervision, this position is responsible for ensuring the accuracy of auditing and data entry for assigned states; documenting quality performance audits, maintaining quality assurance statistics; and providing training as needed. In addition, this role researches and analyzes medical records when coding discrepancies are identified, validates coding accuracy, and supports reporting of audit findings.

Qualifications

• High school diploma or GED.
• 2 years’ business experience. A combination of college level education and experience will be considered.
• Clear and concise interpersonal, verbal and written communication skills to facilitate the learning process; coaching and mentoring skills.
• PC experience in Windows, Word, Excel, Access, and other business related/associated databases.
• Demonstrated analytical and organizational skills.

Requirements

• Current certifications - CPC, CCS-P, CCS, or CRC (risk adjustment coder).
• 2 years’ risk adjustment coding experience.
• Experience reviewing medical record information to identify all appropriate coding based on the CMS Coding Guidelines and/or Official ICD9 / ICD10 Coding Guidelines.
• Experience providing coding and documentation best practices to providers/clinicians and business partners.
• Ability to travel 20% – 30% of the time in and out of state.
• This is a Telecommute Role - (Work from Home).

Benefits

• Health and wellness benefits.
• 401(k) savings plan.
• Pension plan.
• Paid time off.
• Paid parental leave.
• Disability insurance.
• Supplemental life insurance.
• Employee assistance program.
• Paid holidays.
• Tuition reimbursement.
• Other incentives.

Company Description

At HCSC, our employees are the cornerstone of our business and the foundation to our success. We empower employees with curated development plans that foster growth and promote rewarding, fulfilling careers. Join HCSC and be part of a purpose-driven company that will invest in your professional development.