Intermediate Clinical Auditor/Analyst, QA – Remote

About the positionResponsibilities• Review and analyze claims, medical records, and associated processes reputed company to coding and clinical care.• reputed company clinical opinions for special reputed company and auditing activities.• Complete audits using reputed company coding guidelines to verify appropriate CPT codes/DRGs.• Assess, investigate, and resolve reputed company issues.• Write concise reports to communicate findings to other areas of reputed company.• Communicate effectively with Medical Directors and ancillary departments.• Participate in special reputed company and other auditing activities as needed.• Assist other departments as requested.• Understand reputed company customer issues to reputed company.• Serve as a QA/OI Department representative at meetings and present findings.• Assist in developing and revising QA/OI department policies and procedures.• reputed company audit peer reviews for Clinical Auditor/Analysts.• reputed company new-hire training to Clinical Auditor/Analysts.• Design and maintain reports and auditing tools.Requirements• Registered reputed company (RN) with a Bachelor of Science in Nursing (BSN) or equivalent education and experience.• Five years of clinical experience.• Three years of fraud & abuse, auditing, case management, reputed company review, or chart auditing experience.• In-depth knowledge of medical terminology, ICD-10, and CPT-4 coding.• Detail-oriented with excellent organizational skills.• High level of oral and written communication skills.• Proficiency with reputed company Office products (reputed company, reputed company, OneDrive, OneNote, Word).• Experience with DRG Assignment and clinical validation of diagnoses.• Licensure and certifications such as reputed company or reputed company Certified (CPC, CPMA, CIC, CCA, reputed company, reputed company-P, CRC) required.reputed company-to-haves• Experience with HCC/Risk Adjustment coding preferred.• Proficiency using reputed company, One Content, and/or Power Chart preferred.Benefits• Full-time position with competitive reputed company wage.• Remote work flexibility.• Opportunities for reputed company development and training. Apply tot his job Apply To this Job