Active professional credentials from AAPC and/or AHIMA required (such as CRC, CCS, CPC, or CPMA ... remote-first culture - you've come to the right place. What Does This Mean for You? At Aledade PBC ...
Active professional credentials from AAPC and/or AHIMA required (such as CRC, CCS, CPC, or CPMA ... remote-first culture - you've come to the right place. What Does This Mean for You? At Aledade PBC ...
At least 10 years working with federal tax issues related to CPMA issues. * Significant experience ... Remote work * Minimal travel * Work/Life Blend. What you can expect from us: * Our shared values ...
At least 10 years working with federal tax issues related to CPMA issues. * Significant experience ... Remote work * Minimal travel * Work/Life Blend. What you can expect from us: * Our shared values ...
At least 10 years working with federal tax issues related to CPMA issues. * Significant experience ... Remote work * Minimal travel * Work/Life Blend. What you can expect from us: * Our shared values ...
At least 10 years working with federal tax issues related to CPMA issues. * Significant experience ... Remote work * Minimal travel * Work/Life Blend. What you can expect from us: * Our shared values ...
Remote Cpma information
What is a remote CPMA?
A Remote CPA is a Certified Public Accountant who performs accounting, tax, and financial services for clients from a remote location rather than working onsite. These professionals use digital tools to communicate, manage financial documents, and provide services such as tax preparation, auditing, and consulting. Working remotely allows CPAs to serve clients from various locations, offering flexibility and often reducing overhead costs. Remote CPAs must still adhere to the same professional standards and licensing requirements as traditional CPAs.
How do remote CPMA professionals typically coordinate with healthcare providers and coding teams to ensure compliance and accuracy?
Remote Certified Professional Medical Auditors (CPMAs) often rely on digital communication tools to collaborate with healthcare providers and coding teams. They regularly participate in virtual meetings, share audit findings via secure platforms, and provide feedback or training on documentation and coding practices. Effective communication and clear documentation are crucial, as remote CPMAs must resolve discrepancies and ensure compliance with regulatory standards from a distance. This role requires strong organizational skills and the ability to build productive professional relationships without in-person interaction.
What are the key skills and qualifications needed to thrive as a remote Certified Professional Medical Auditor (CPMA), and why are they important?
To excel as a Remote CPMA, you need comprehensive knowledge of medical coding, auditing standards, and healthcare regulations, typically validated by a CPMA certification. Familiarity with electronic health record (EHR) systems, medical billing software, and coding tools like ICD-10, CPT, and HCPCS is essential. Strong analytical skills, attention to detail, and effective written communication are vital soft skills for accurate auditing and reporting. These abilities ensure compliance, reduce errors, and help healthcare organizations maintain proper reimbursement and regulatory standards.
What is the difference between Remote Cpma vs Remote Cpc?
| Aspect | Remote Cpma | Remote Cpc |
|---|---|---|
| Certifications | CPMA (Certified Professional Medical Auditor) | CPC (Certified Professional Coder) |
| Work Environment | Remote medical auditing and compliance | Remote medical coding and billing |
| Industry Usage | Healthcare, insurance, auditing | Healthcare, billing, coding services |
Remote Cpma and Remote Cpc both require healthcare certifications and are often performed remotely. While Remote Cpma focuses on medical auditing and compliance, Remote Cpc specializes in medical coding and billing. Both roles are essential in healthcare administration, but they differ in daily tasks and certification focus.
How do I become a Remote Cpma certified?
To become a Remote Cpma certified, candidates must typically complete a recognized certification program in clinical research or project management, such as the Certified Professional Medical Auditor (CPMA) credential offered by the American Medical Auditing Association. Additionally, gaining relevant experience in healthcare or clinical auditing and passing the certification exam are essential steps to achieve certification.
What are popular job titles related to Remote Cpma jobs in Kentucky?
For Remote Cpma jobs in Kentucky, the most frequently searched job titles are:
What job categories do people searching Remote Cpma jobs in Kentucky look for?
The top searched job categories for Remote Cpma jobs in Kentucky are:
What cities in Kentucky are hiring for Remote Cpma jobs?
Cities in Kentucky with the most Remote Cpma job openings:
Full-time
Medical, Dental, Vision, Retirement, PTO
Posted 5 days ago
Job description
As a Coding Quality Assurance (QA) Manager, you will lead a high-performing team of QA Specialists at the intersection of clinical precision and operational excellence. You'll drive coding accuracy, build robust Standard Operating Procedures (SOPs), and ensure full audit readiness by evaluating documentation from both our internal CDI team and external partners. If you bring deep expertise in Risk Adjustment and Hierarchical Condition Categories (HCC) alongside a passion for mentoring talent and elevating compliance standards, this role offers a direct platform to shape our quality operations and make a measurable impact.
Candidates should be comfortable working remotely from anywhere within the US, across all US time zones.
Primary Duties
- 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.
- Education & Feedback Loops: Translate QA audit findings into actionable insights. Provide structured feedback and target educational resources to internal CDI specialists and vendors to prevent recurring errors.
- Other duties as assigned
Minimum 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.
Preferred KSA's:
- CRC (Certified Risk Adjustment Coder)
- Experience working within Value-Based Care (VBC) models, ACOs, or Advantage plans.
- Prior experience managing small teams or leading vendor oversight programs.
- Exceptional leadership, communication, and organizational skills.
- Proficiency with EHR systems and encoder software
Who We Are:
Aledade PBC, a public benefit corporation, exists to empower the most transformational part of our health care landscape - independent primary care. We were founded in 2014, and since then, we've become the largest network of independent primary care in the country - helping practices, health centers and clinics deliver better care to their patients and thrive in value-based care. Additionally, by creating value-based contracts across a wide variety of health plans, we aim to flip the script on the traditional fee-for-service model. Our work strengthens continuity of care, aligns incentives and ensures primary care physicians are paid for what they do best - keeping patients healthy. If you want to help create a health care system that is good for patients, good for practices and good for society - and if you're eager to join a collaborative, inclusive and remote-first culture - you've come to the right place.
What Does This Mean for You?
At Aledade PBC, you will be part of a creative culture that is driven by a passion for tackling complex issues with respect, open-mindedness and a desire to learn. You will collaborate with team members who bring a wide range of experiences, interests, backgrounds, beliefs and achievements to their work - and who are all united by a shared passion for public health and a commitment to the Aledade mission.
In addition to time off to support work-life balance and enjoyment, we offer the following comprehensive benefits package designed for the overall well-being of our team members:
Flexible work schedules and the ability to work remotely are available for many roles
Health, dental and vision insurance paid up to 80% for employees, dependents and domestic partners
Robust time-off plan (21 days of PTO in your first year)
Two paid volunteer days and 11 paid holidays
12 weeks paid parental leave for all new parents
Six weeks paid sabbatical after six years of service
Educational Assistant Program and Clinical Employee Reimbursement Program
401(k) with up to 4% match
Stock options
And much more!
At Aledade PBC, we don't just accept differences, we celebrate them! We strive to attract, develop and retain highly qualified individuals representing the diverse communities where we live and work. Aledade is committed to creating a diverse environment and is proud to be an equal opportunity employer. Employment policies and decisions at Aledade are based on merit, qualifications, performance and business needs. All qualified candidates will receive consideration for employment without regard to age, race, color, national origin, gender (including pregnancy, childbirth or medical conditions related to pregnancy or childbirth), gender identity or expression, religion, physical or mental disability, medical condition, legally protected genetic information, marital status, veteran status, or sexual orientation.
We may use automated tools, including artificial intelligence (AI), to help organize and evaluate application materials. These tools support our recruiters and hiring managers by helping manage large applicant pools. Human judgment plays an essential role in our hiring process, including in the oversight and use of any automated tools. If you would like more information about our screening and hiring process, please contact us. Our Commitment to Authenticity. We use Endorsed, a fraud detection tool, to validate the authenticity of applications and protect against identity fraud. This ensures we are connecting with real people and allows us to prioritize genuine candidates. When you apply to a job on this site, the personal data contained in your application will be collected by Aledade PBC using Lever, a cloud services provider located in the United States. Lever is engaged by Aledade PBC to help manage its recruitment and hiring processes. For more information about how your personal data will be processed by Aledade PBC and any rights you may have, please review Aledade PBC's Candidate Privacy Notice. By applying for this job, you agree to Aledade's Applicant Privacy Policy available at https://www.aledade.com/privacy-policy-applicants If you have any questions about our privacy practices, please contact [email protected].
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