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QA Auditor

Overview

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Full time Risk Adjustment QA Auditors need for year-round (not seasonal) large project!
Responsibilities: 

  • Audit/validate ICD-10-CM risk adjustment codes as applicable. 

  • Provide audit-based feedback to ensure quality standards are maintained.  

  • Provide education to coders for quality enhancement where applicable. 

  • Meet or exceed quality and production standards as required. 

  • Full Time Schedule required (40 hours/week)  No part time opportunities available at this time.

 

Requirements: 

  • Minimum of 5 years in risk adjustment coding/auditing. 

  • Minimum 3 years of QA/Auditing Educator experience to include creation and delivery of education for skill advancement of coders/auditors. 

  • Experience with multiple risk models (CMS, ACA, etc.) required.   

  • CPC and CRC required; additional certifications preferred. Unable to consider candidates with Apprentice credentials.  

  • Ability to shift between guidelines per project needs.  

  • Experience with Excel, EMRs, and Encoders. 

  • Computer skills proficiency – MS Windows, MS Office (including Excel), Teams, Internet, etc. 

  • High Speed Internet access. 

  • Applicants must be authorized to work in the US. We are unable to sponsor or take over sponsorship for any employment visas at this time.

 

Skills Needed: 

  • Extensive knowledge of ICD-10-CM guidelines and risk adjustment methodologies.  

  • Reliability and determination to meet standards as expected.  

  • Discipline and dedication to succeed while working remotely with minimal oversight.  

Location: Remote,
Type: Contract
Pay: Apply for details

1632

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