Job Description

Key Responsibilities

  • Supervise daily operations of the coding QA team, specifically SDS & Observation audits.
  • Conduct internal audits to evaluate accuracy, consistency, and regulatory compliance in SDS coding, when needed.
  • Monitor coding performance and quality metrics; provide actionable feedback to improve team effectiveness.
  • Develop, implement, and maintain coding QA policies and procedures in collaboration with leadership.
  • Collaborate with coding education staff to identify training needs and deliver targeted education based on audit findings.
  • Act as a subject matter expert for SDS & Observation coding questions and escalated cases.
  • Ensure coding practices align with federal guidelines, payer-specific policies, and organizational goals.
  • Provide detailed reporting and analysis of audit results to leadership, identifying trends and risks.
  • Maintain up-to-date knowledge of coding standards, CMS ...

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