Coding Quality Coach

Coding Quality Coach

This role is focused on ensuring the highest standards of medical coding accuracy and compliance across healthcare documentation and reimbursement processes. You will play a key role in auditing coding work, identifying quality gaps, and providing actionable feedback to improve coder performance across multiple service lines. The position involves close collaboration with both internal coding teams and operational stakeholders to ensure alignment with regulatory requirements such as Medicare and CMS guidelines. You will help strengthen overall coding integrity by supporting continuous improvement initiatives and reinforcing best practices. This is a highly detail-oriented role where your expertise directly contributes to healthcare data accuracy, compliance, and patient care outcomes. The environment is collaborative and mission-driven, with a strong focus on quality, consistency, and professional development. It is well-suited for professionals who enjoy coaching, auditing, and improving operational excellence in healthcare coding.

Accountabilities:

• Conduct medical coding quality audits in accordance with established policies, procedures, and regulatory standards, including Medicare and CMS guidelines.
• Evaluate coder performance and identify quality gaps, providing clear and constructive feedback to improve accuracy and compliance.
• Support daily audit prioritization and contribute to improving coder performance across multiple service lines.
• Collaborate with operations and quality management teams to communicate coding performance trends and key metric insights.
• Ensure adherence to contractual, regulatory, and internal coding quality standards across all reviewed records.
• Assist in developing and reinforcing best practices to enhance overall coding accuracy and consistency.
• Document audit findings and support corrective action initiatives where needed.
• Perform additional responsibilities as assigned to support coding quality and operational goals.

Requirements:

• Bachelor's degree or equivalent relevant experience in healthcare, coding, or related field.
• 02 years of experience in medical coding, auditing, or healthcare operations (or equivalent exposure).
• Active coding certification (HCS-D or BCHH-C required).
• OASIS certification (HCS-O required).
• Strong understanding of medical coding standards, compliance requirements, and healthcare documentation practices.
• Ability to interpret CMS, Medicare, and other regulatory coding guidelines accurately.
• Strong attention to detail with excellent analytical and critical thinking skills.
• Effective communication skills for providing coaching, feedback, and cross-team collaboration.
• Ability to manage multiple priorities in a structured, fast-paced environment.
• Comfort working extended periods at a computer and following strict security and confidentiality protocols.

Benefits:

• Competitive salary aligned with experience and role requirements
• Comprehensive medical, dental, and vision insurance coverage
• Mental health and employee assistance support programs
• Generous paid time off plus 13 paid holidays annually
• 401(k) retirement plan with full vesting benefits
• Educational assistance up to $2,500 per year
• Fully remote work flexibility
• Opportunity to contribute to healthcare quality and patient outcome improvement.