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Senior Coding Compliance Specialist

Quartz Health Solutions

Quartz is seeking a skilled coding professional to support accurate, compliant, and high-quality claims processing in a senior coding compliance role. This position applies regulatory coding guidance, resolves complex claims and appeals, analyzes billing trends, and collaborates across teams to strengthen payment integrity and reimbursement accuracy.

The role investigates, implements, and audits coding and regulatory guidelines while serving as a subject matter expert for coding inquiries from internal and external customers.

Requirements & Qualifications

Qualifications

  • Associate’s degree in medical coding with 5+ years of medical coding experience, or high school equivalency with 8+ years of medical coding experience
  • Completion of a medical coding program
  • Certification in CPC, COC, RHIT, RHIA, CCA, and/or CCS
  • Strong working knowledge of medical coding, fee schedules, and reimbursement mechanisms
  • Strong understanding of coding and regulatory guidelines including CPT, HCPCS, ICD-10, OPPS, IPPS, and DRGs
  • Experience with Epic healthcare software and/or Optum claims edit system
  • Strong understanding of governmental medical payment policies and regulations
  • Knowledge of HIPAA regulations
  • Strong analytical, problem-solving, verbal, and written communication skills
  • Intermediate proficiency with Microsoft Office
  • Ability to multitask, prioritize, and manage time effectively
  • Self-motivated and able to work independently to investigate complex issues
Benefits & Perks

Benefits

  • Competitive salary based on skills and experience
  • Robust benefits package
  • Professional development opportunities
  • Career advancement opportunities
  • Company-provided hardware and equipment for remote work
  • Supportive team culture focused on respect, responsibility, resourcefulness, and relationships

Location

Wisconsin, US

Employment Type

Full-time

Experience Level

Senior

Salary Range

$61,500 - $76,800

Remote work allowed

Yes

Posted

1 week ago

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