Medical Coding Quality Assurance Specialist

A company is looking for a Quality Assurance Specialist III to perform medical coding audits and ensure compliance in healthcare claims. Key Responsibilities Conduct in-depth prepayment medical record audits for accuracy and compliance Review claims from high volume providers and validate benefit payments Document audit findings and provide coaching and feedback to internal teams Required Qualifications High School Diploma or GED 5+ years of relevant experience in Auditing, Quality Assurance, or comparable fields 2 years of experience as a Quality Assurance Specialist Coding certification (CPC, CPC-A, COC, or CPMA) required 2+ years of medical coding QA/audit experience

Created: 2026-03-05