Hiring: Coding Quality Assurance (QA) Manager, Remote Company: Aledade Location: Durham, NC Job Posted Time: 2026-09-10 10:44:41 Employment Type: Remote Target Skills & Keywords : Clinical Documentation, EHR, ICD-10, Medicare, Quality Assurance, Vendor Management About the job Experience: •4 years of HCC coding experience with 2 years specifically focused on coding quality assurance, auditing, or compliance monitoring. Required Skills: •Team Leadership & Oversight: Lead, mentor, and manage a team of QA Specialists. Establish team goals, monitor productivity, conduct regular performance reviews, and foster a culture of continuous learning. •Quality Audits: Oversee and perform comprehensive quality assurance reviews for coding completed by internal CDI staff and external vendor partners, ensuring compliance with official ICD-10-CM guidelines and risk adjustment models. •SOP & Guideline Development: Design, implement, and maintain standard operating procedures, audit workflows, scoring methodologies, and coding quality guidelines across the organization. •Payer Audit Support: Act as a key subject matter expert (SME) during external payer audits (e.g., RADV, Medicare, Commercial). Assist with chart selection, review, dispute documentation, and appeal responses. •Vendor Management: Evaluate third-party coding vendor accuracy rates against established SLAs. Deliver constructive feedback, identify trend errors, and drive corrective action plans when necessary. Qualifications: •Bachelor’s Degree in health care management, nursing or related field or an Associate Degree with relevant experience in CDI, coding, coding management, or HCC Risk Adjustment required. •Minimum of 4 years of HCC coding experience with 2 years specifically focused on coding quality assurance, auditing, or compliance monitoring. •Active professional credentials from AAPC and/or AHIMA required (such as CRC, CCS, CPC, or CPMA). •Deep mastery of ICD-10-CM coding, CMS Risk Adjustment guidelines, RADV audit rules, and clinical documentation requirements. •CRC (Certified Risk Adjustment Coder) •Prior experience managing small teams or leading vendor oversight programs. •Exceptional leadership, communication, and organizational skills. •Proficiency with EHR systems and encoder software •What Does This Mean for You? Compensation: •Flexible work environment (work from home / hybrid options) •Competitive benefits and rewards package •Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!