Medical Review Coding QA Auditor - Inpatient
Description:
• The Medical Review Coding QA Auditor (Inpatient) is responsible for conducting Quality Assurance (“QA”) reviews of medical review audit work
• Communicates and supports the identification of potential training opportunities or enhancements to training and/or concept review guideline materials and tools
• Responsible for performing some audit activity and consistently achieves or exceeds productivity goals and quality standards
• Serves as subject matter expert, provides supplemental escalation support, and may perform special project activity as needed
Requirements:
• Minimum of a High School Diploma or GED is required
• Current certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P
• 3+ years of (MS/APR) DRG coding for hospital, physician’s office or other acute facility setting preferred
• 5+ years relevant auditing experience in a provider or payer environment demonstrating breadth and depth of knowledge/skills for the position
• Prior experience in role with responsibility for conducting primary audit, utilization or prior-authorization work, or quality review of audit work performed by others
• Prior experience in payer edit development and/or reimbursement policy a plus
• Prior experience working in remote setting preferred
Benefits:
• Medical, dental, vision
• Disability coverage options
• Life insurance coverage
• 401(k) savings plans
• Paid family/parental leave
• 11 paid holidays per year
• Sick time and vacation time off annually
Apply Now
Apply Now
• The Medical Review Coding QA Auditor (Inpatient) is responsible for conducting Quality Assurance (“QA”) reviews of medical review audit work
• Communicates and supports the identification of potential training opportunities or enhancements to training and/or concept review guideline materials and tools
• Responsible for performing some audit activity and consistently achieves or exceeds productivity goals and quality standards
• Serves as subject matter expert, provides supplemental escalation support, and may perform special project activity as needed
Requirements:
• Minimum of a High School Diploma or GED is required
• Current certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, CCS, or CCS-P
• 3+ years of (MS/APR) DRG coding for hospital, physician’s office or other acute facility setting preferred
• 5+ years relevant auditing experience in a provider or payer environment demonstrating breadth and depth of knowledge/skills for the position
• Prior experience in role with responsibility for conducting primary audit, utilization or prior-authorization work, or quality review of audit work performed by others
• Prior experience in payer edit development and/or reimbursement policy a plus
• Prior experience working in remote setting preferred
Benefits:
• Medical, dental, vision
• Disability coverage options
• Life insurance coverage
• 401(k) savings plans
• Paid family/parental leave
• 11 paid holidays per year
• Sick time and vacation time off annually
Apply Now
Apply Now