Quality Assurance Specialist– Revenue Cycle Management (RCM) – Pain Management Experience Required
About the Role Our growing Pain Management practice is seeking an experienced Medical Coder to join our team. This position plays a key role in ensuring accurate coding, billing, and compliance for chronic care services, pump refills, and specialty procedures. The ideal candidate is detail-oriented, highly organized, and skilled in policy research and coding for new services in a fast-paced clinical environment. Key Responsibilities • Accurately assign CPT, HCPCS, and ICD-10 codes for pain management services, including chronic care management, pump refills, orthopedic spine procedures, X-rays, podiatry, and GI-related services. • Research and implement new coding requirements for emerging treatments and services. • Conduct policy research to stay current with payer guidelines, regulatory updates, and AAPC coding standards. • Review medical records and provider documentation to ensure accuracy and compliance. • Collaborate with physicians, billing staff, and administrative teams to resolve coding discrepancies and optimize reimbursement. • Provide guidance and training to team members on coding updates and best practices. Qualifications • AAPC Certification (CPC, CPMA, or equivalent) required and in good standing. • Minimum 3–5 years of medical coding experience, preferably in pain management, chronic care, or multi-specialty services. • Strong knowledge of CPT, ICD-10, and HCPCS Level II coding. • Proven ability to research and code new services and maintain compliance with U.S. healthcare regulations. • Excellent communication skills and attention to detail. • Experience working in a medical practice, ASC (Ambulatory Surgery Center), or specialty clinic environment preferred. Preferred Skills • Familiarity with pain pump refills and chronic care management coding. • Experience with orthopedic spine, podiatry, X-rays, and GI services. • Knowledge of payer requirements and prior authorization processes. Pay: From $27.00 per hour Experience: • Pain management: 1 year (Required) • Revenue cycle management: 2 years (Required) • Quality assurance: 1 year (Required) Work Location: Remote