Quality Control Specialist - Work from Home

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.

Job Summary

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.

JOB REQUIREMENTS:

• 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

PREFERRED JOB 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)

#LI - RR1

#LI - Remote

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Pay Transparency Statement:

At Health Care Service Corporation, you will be part of an organization committed to offering meaningful benefits to our employees to support their life outside of work. From 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, plus other incentives, we offer a robust total rewards package for employees. Learn more about our benefit offerings by visiting https://careers.hcsc.com/totalrewards.

The compensation offered will vary depending on your job-related skills, education, knowledge, and experience. This role aligns with an annual incentive bonus plan subject to the terms and the conditions of the plan.

This position may be performed remotely from anywhere within the continental United States, excluding California, New York, Alaska, and Hawaii.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.

Base Pay Range

$22.54 - $40.31

Exact compensation may vary based on skills, experience, and location.