Coding Quality Education Specialist

Advances coding quality, documentation integrity, and provider education to optimize compliant revenue capture, quality measure performance, and clinical documentation across the organization. Plays a direct role in organizational performance on HEDIS, MIPS, and value-based care (VBC) contracts by ensuring accurate diagnosis capture, appropriate code assignment, and documentation that supports quality measure closure, risk adjustment, and payer performance thresholds. Conducts prospective and retrospective coding audits of outpatient behavioral health and primary care services, accurately translating clinical documentation into CPT, HCPCS, and ICD-10-CM codes in alignment with Medicare and Medicaid (CMS), , and payor-specific guidelines.