Quality Analyst - Outpatient, Healthcare

Responsibilities: The Quality Analyst serves as the gatekeeper for outpatient coding audits to ensure high accuracy standards. Responsibilities include validating coded data against medical documentation and providing expert feedback to improve team performance.

Requirements: Candidates must have a High School Diploma and CCS or CPC certification with at least 5 years of professional and hospital coding experience. Proficiency in ICD-10, CPT, and various encoder tools is required.

Key skills: Medical Coding, Outpatient Auditing, ICD-10, HCPCS/CPT, Medicare OPPS, APCs, Encoder Tools, Medicare LCD/NCD Guidelines, Modifier Application, NCCI Rules, Microsoft Office, Problem-solving, Communication, Organization, Documentation, Mentoring

Keywords: Medical Coding, Quality Analyst, QC Coder, ICD-10, HCPCS, CPT, Medicare OPPS, APCs, Optum, TrueCode, 3M, Webstrat, LCD, NCD, NCCI, CCS, CPC, Healthcare, Outpatient Services, Interventional Radiology, Ambulatory Surgery, ER Coding, Observation Coding, Data Analytics, Medical Auditing