Remote Position
Data Quality Auditor
🌍 Remote · United States
💼 Full-time
Job Description:
- Responsible for performing audit and abstraction of medical records to identify and submit ICD codes
- Ensure appropriate, accurate codes that are supported by clinical documentation in accordance with State and Federal regulations and internal policies
- Support coding judgment and decisions using industry standard evidence and tools
- Proficient in abstraction and assignment of accurate medical codes for diagnoses
- Utilize medical records to document support for etiology and manifestations of disease processes
- Adhere to stringent timelines consistent with project deadlines and directives
- Conduct self-process audits to ensure compliance with internal policies and procedures as well as regulatory guidance Requirements:
- CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required
- Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook)
- Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
- 3 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing preferred
- Experience with Medicare and/or Commercial and/or Medicaid Risk Adjustment process and Hierarchical Condition Categories preferred
- CRC (HCC)CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred
- Excellent analytical and problem solving skills
- Superior communication, organizational, and interpersonal skills Benefits:
- Affordable medical plan options
- 401(k) plan (including matching company contributions)
- Employee stock purchase plan
- No-cost programs for all colleagues including wellness screenings, tobacco cessation and weight management programs
- Confidential counseling and financial coaching
- Paid time off
- Flexible work schedules
- Family leave
- Dependent care resources
- Colleague assistance programs
- Tuition assistance
- Retiree medical access Apply tot his job