Quality Analyst - CPC (Remote)
$34,000.00 - $50,000.00 per year.
Pay Transparency Statement: The base salary range represents the low and high end of the anticipated salary range for this position across our US locations. The "pay scale" provided is a good faith estimate of the range the employer reasonably expects to pay for the position at the time of hire. Actual salary will be determined based on various factors including, but not limited to, the candidate's qualifications, experience, skills, and specific geographic location. Benefits: We offer a comprehensive benefits package including medical, dental, and vision insurance; 401(k) with company match; and paid time off including vacation, sick leave, and holidays. Application Window:
This position is expected to remain open until 07-24-2026 . We recommend that interested candidates apply within 7 days of the posting date to ensure consideration.
Job Description:
As a Quality Analyst, you will be responsible for the continuous auditing, evaluation, and quality assurance of behavioral health medical charts, coding compliance, and billing accuracy. You will serve as a subject matter expert, ensuring that our coding team maintains the highest levels of precision while adhering to strict HIPAA regulations and client-specific guidelines. The ideal candidate possesses exceptional deductive reasoning, a sharp eye for detail, and the communication skills necessary to provide constructive feedback and coaching to frontline coding teammates. Core Responsibilities
- Quality Auditing: Conduct routine, objective quality reviews and audits of behavioral health coding, documentation, and billing submissions to ensure compliance with official coding guidelines.
- Error Analysis & Calibration: Identify trends, systemic issues, and individual coding errors. Use the AAPC CPT E/M MDM Leveling Grid/E/M Calculator to validate complex evaluation and management leveling.
- Feedback & Coaching: Deliver clear, actionable, and supportive feedback to Coding Teammates to improve accuracy and productivity.
- Process Improvement: Partner with leadership (including coordination with stakeholders like Julienne Smith) to update auditing grids, identify training gaps, and streamline workflows.
- Compliance Enforcement: Safeguard patient data by ensuring all processed charts strictly adhere to HIPAA and internal security standards.
- CPC Certification: Active CPC (Certified Professional Coder) credential required. Additional auditing credentials (e.g., CPMA) are a strong plus.
- Coding & Auditing Experience: Minimum 1 years of Medical Billing and Coding experience, with at least 1 year specifically in a Quality Assurance, Auditing, or Senior Coder role.
- Specialty Knowledge: Hands-on experience with Behavioral Health/Mental Health coding and billing highly preferred.
- Tool Proficiency: Expert-level mastery of CPT, ICD-10-CM, and E/M leveling tools.
- Analytical Mindset: Exceptional deductive reasoning skills and an uncompromising attention to detail.
- Technical Articulation: Ability to clearly explain complex coding rationale and compliance rules to both technical peers and non-technical stakeholders.
- Communication Style: Excellent written and verbal communication; capable of coaching others constructively without sounding rigid.
- Growth Mindset: Curious, adaptable, organized, and highly efficient in a self-started, remote environment.
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