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
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