Quality Assurance Manager

Devoted Health

. Serve as an expert on ICD-10-CM coding guidelines, AHA Coding Clinic guidance, and internal risk adjustment guidance .

Posted 9/21/2026full-timeRemote • United StatesSeniorLead💰 $73,000 - $114,000 per yearWebsite

Core Competencies

Role fit

Core Competencies

Use this summary to align your resume positioning with the role.

Expertise in ICD-10-CM coding guidelines and risk adjustment models, with a strong focus on quality assurance processes and vendor management. Proven ability to lead QA initiatives, analyze coding trends, and implement process improvements while ensuring compliance with HIPAA regulations.

Highest-signal resume keywords

ICD-10-CM Coding ExpertiseQA Policy DevelopmentRisk Adjustment CodingVendor ManagementMedical Record Documentation Review

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

ICD-10-CM CodingMedical Record ReviewCoding AuditingQA Process ImprovementData AnalysisCoding Dispute ResolutionPerformance MeasurementDocumentation AbstractionAI-Assisted Coding ValidationSOP Writing

Soft Skills

Communication SkillsOrganizational SkillsInterpersonal SkillsPresentation Skills

Tools & Technologies

NLP TechnologyCAC TechnologyRisk Adjustment Tooling

Certifications & Qualifications

CPCCRCCCSCCS-P

Industry Keywords

CMS Risk Adjustment ModelsHIPAA ComplianceCoding Quality StandardsAHA Coding Clinic GuidanceQA Scorecard Processes

About the role

Key responsibilities & impact

Serve as an expert on ICD-10-CM coding guidelines, AHA Coding Clinic guidance, and internal risk adjustment guidance
Oversee an offshore FDR vendor team of QA Reviewers, including accuracy and productivity standards, performance review, and volume allocation
Escalate staffing, training, and quality gaps to vendor management
Own and maintain QA policies and SOPs for coding quality, retrospective coding, and audit operations
Plan QA review coverage and representative sampling across internal staff and vendors
Perform QA reviews of escalated, disputed, and high-risk charts and resolve coding disagreements
Own monthly and quarterly QA Scorecard processes and remediation follow-through
Identify documentation and coding trends and convert findings into education, job aids, or process changes
Measure QA team accuracy and incorporate findings into the QA process
Partner with vendor leadership on quality expectations, corrective action, and escalation
Resolve coding questions and maintain the questions-and-answers log
Partner with technology and analytics teams on risk adjustment tooling, including AI-assisted coding
Define QA requirements, test releases and enhancements, and provide feedback on technology design and performance
Build and run production monitoring for tools, tracking performance drift and error patterns
Support retrospective coding and audits by abstracting medical records or ICD-10 codes for CMS submission
Recommend process improvements and prepare department reporting
Serve as a voting risk adjustment coding SME on Devoted’s Coding Steering Workgroup
Handle patient data ethically under HIPAA Privacy and Security rules
Perform other related duties as required

Requirements

What you’ll need

Current relevant coding certification recognized by AAPC or AHIMA; examples include CPC, CRC, CCS, CCS-P
7+ years of recent and related experience in medical record documentation review, diagnosis coding, and/or auditing, including risk adjustment coding
Experience leading development and presentation of accuracy or performance results to production coders or management
Sound knowledge of ICD-10-CM coding guidelines and regulations
Ability to read medical records and abstract clinical diagnosis codes from documentation
Expertise in CMS risk adjustment models
Experience managing or overseeing vendor and/or off-shore coding teams
Experience validating or auditing AI-assisted, NLP, CAC, or other automated chart review technology
Experience writing or substantially revising QA policies, SOPs, or audit sampling methodology
Communication, organizational, and interpersonal skills, including formatting and presenting QA Review results and delivering findings to staff and vendor leaders

Benefits

Comp & perks

Employer sponsored health, dental and vision plan with low or no premium
Generous paid time off
$100 monthly mobile or internet stipend
Stock options for all employees
Bonus eligibility for all roles excluding Director and above
Commission eligibility for Sales roles
Parental leave program
401K program