Quality Control Specialist

Health Care Service Corporation

. Ensure accuracy of auditing and data entry for assigned states .

Posted 10/30/2026full-timeRemote • United StatesJuniorMid-Level💰 $23 - $40 per hourWebsite

Core Competencies

Role fit

Core Competencies

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Demonstrates expertise in risk adjustment coding, including adherence to CMS Coding Guidelines and ICD9/ICD10 standards, while ensuring accuracy in auditing and data entry. Proficient in providing training and support for coding best practices to enhance organizational quality assurance.

Highest-signal resume keywords

Risk Adjustment Coding ExperienceCPC CertificationICD9/ICD10 Coding GuidelinesAnalytical SkillsInterpersonal Communication Skills

ATS Keywords

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Applicant Tracking System Keywords

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Hard Skills

Auditing AccuracyData EntryCoding ValidationQuality Assurance StatisticsMedical Record Analysis

Soft Skills

Coaching SkillsMentoring SkillsOrganizational Skills

Tools & Technologies

WindowsMicrosoft WordMicrosoft ExcelMicrosoft AccessBusiness Databases

Certifications & Qualifications

CPCCCS-PCCSCRC

Industry Keywords

Risk AdjustmentCMS Coding GuidelinesOfficial Coding Guidelines

About the role

Key responsibilities & impact

Ensure accuracy of auditing and data entry for assigned states
Document quality performance audits
Maintain quality assurance statistics
Provide training as needed
Research and analyze medical records when coding discrepancies are identified
Validate coding accuracy
Support reporting of audit findings

Requirements

What you’ll need

High school diploma or GED
2 years’ business experience
A combination of college level education and experience will be considered
Clear and concise interpersonal, verbal and written communication skills
Coaching and mentoring skills
PC experience in Windows, Word, Excel, Access, and other business-related/associated databases
Demonstrated analytical and organizational skills
Current certifications - CPC, CCS-P, CCS, or CRC (risk adjustment coder) (preferred)
2 years’ risk adjustment coding experience (preferred)
Experience reviewing medical record information to identify appropriate coding based on CMS Coding Guidelines and/or Official ICD9/ICD10 Coding Guidelines (preferred)
Experience providing coding and documentation best practices to providers/clinicians and business partners (preferred)
Ability to travel 20%–30% of the time in and out of state (preferred)

Benefits

Comp & perks

Curated development plans and professional development opportunities
401(k) savings plan
Pension plan
Paid time off
Paid parental leave
Disability insurance
Supplemental life insurance
Employee assistance program
Paid holidays
Tuition reimbursement
Other incentives
Annual incentive bonus plan subject to plan terms and conditions
Remote work from home