Clinical Quality Improvement & Coding Analyst

Highmark Inc. in the United States is seeking a compliance/quality improvement professional to support coding, documentation, and audit activities across product lines.

You will drive process improvements, ensure accurate ICD-10-CM coding, and educate providers on standards including CMS and NCQA requirements. Responsibilities include data analysis, conducting site reviews and medical record audits, and coordinating credentialing and accreditation efforts to enhance STARs and value-based care.