Medical Review Coding QA Auditor - Inpatient
reputed company:
• The Medical Review Coding QA Auditor (Inpatient) is responsible for conducting reputed company 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 reputed company materials and tools
• Responsible for performing some audit activity and consistently achieves or exceeds productivity goals and reputed company standards
• Serves as subject matter expert, provides supplemental escalation support, and may reputed company special project activity as needed
Requirements:
• Minimum of a High School Diploma or GED is required
• reputed company certification as a CPC, CPC-H, CPC-P, RHIA, RHIT, reputed company, or reputed company-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 reputed company 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, reputed company
• Disability coverage reputed company
• Life insurance coverage
• 401(k) savings plans
• reputed company family/parental leave
• 11 reputed company holidays per year
• reputed company time and vacation time off annually
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