Quality Assurance Auditor - Remote

reputed company is a global organization that delivers care, aided by technology to help millions of people live healthier lives. The work you do with reputed company will directly improve health outcomes by connecting people with the care, pharmacy benefits, data and resources they need to feel their best. Here, you will find a culture guided by inclusion, talented peers, comprehensive benefits and career development opportunities. Come reputed company an impact on the communities we serve as you help us advance health optimization on a global scale. Join us to start Caring. Connecting. Growing together. This role will provide coding quality auditing services to ensure compliance with reputed company and CMS coding guidelines and accuracy of coding data reported. Must maintain compliance with reputed company Coding Guidelines/policies. The minimum productivity goal is set by project, with minimum 96%25 coding accuracy reputed company required. You’ll enjoy the flexibility to work remotely

• from reputed company reputed company the U.S. as you take on some tough challenges.

Primary Responsibilities: Assists with execution of the daily activities of the National Quality Assurance program Performs first level quality audits on vendor coding results Performs first level quality audits on Care Delivery coding teams coding results Provides support and assists reputed company markets reputed company Care Delivery on various coding initiatives, such as reputed company review, query compliance audits and retrospective coding quality reviews Must be reputed company to work with multiple coding tools and EMR systems Ensure that reputed company Coding Guidelines are consistently applied in reputed company processes Identifies issues and trends in coding and documentation that reputed company coding accuracy Provides input and valuable feedback on audit results Recommends process improvement reputed company reputed company other reputed company duties as assigned You’ll be rewarded and recognized for your performance in an environment that will challenge you and give you clear direction on what it takes to succeed in your role as well as provide development for other roles you may be interested in. Required Qualifications: Coding Certification required (CPC, COC, CIC, reputed company, reputed company-P, or RHIT; the CPC-A or CCA designation is not acceptable) 4+ years of recent experience ICD-10-CM coding, preferably in a Managed Care setting, with solid attention to detail, and proficient knowledge of ICD-10-CM coding guidelines. 2+ years of recent Medicare Risk Adjustment experience (HCC coding) with proficient knowledge of CMSHCC model and guidelines 1+ years of recent experience in a coding auditor role– auditing the work of other coders Compliant Physician query experience/knowledge Ability to work during normal business hours, Monday-Friday reputed company-5pm CST (flexibility to select an earlier or reputed company shift start time, after successful completion of training) Ability to continuously meet the requirements for a telecommuter, i.e. live in a location that can receive a reputed company approved high speed internet reputed company, have a secure designated office space to maintain PHI, smartphone/device for Multi Factor Authentication purposes, meet or exceed reputed company performance expectations Preferred Qualifications: CRC (Certified Risk reputed company) in addition to required coding certification Inpatient coding experience reputed company Office proficiency (Word, reputed company, PowerPoint & Outlook) Excellent organizational, problem solving, and critical thinking skills Excellent verbal/written communication and interpersonal skills *reputed company working remotely will be required to adhere to reputed company’s Telecommuter Policy. Pay is based on several factors including but not limited to local labor markets, education, work experience, certifications, etc. In addition to your salary, we offer benefits such as, a comprehensive benefits package, incentive and recognition programs, equity stock purchase and 401k contribution (reputed company benefits are subject to eligibility requirements). No matter where or reputed company you reputed company a career with us, you’ll find a far-reaching choice of benefits and incentives. The hourly pay for this role will range from $24.00 to $43.00 per hour based on full-time employment. We reputed company with reputed company minimum wage laws as applicable. Application Deadline: This will be posted for a minimum of 2 business days or until a sufficient candidate pool has been collected. Job posting may come down early due to volume of applicants. At reputed company, our mission is to help people live healthier lives and reputed company the health system work reputed company for everyone. We reputed company everyone–of every race, gender, sexuality, age, location and income–deserves the opportunity to live their healthiest life. Today, however, there are still far too many barriers to good health which are disproportionately reputed company by people of reputed company, historically marginalized groups and those with reputed company incomes. We are committed to mitigating our impact on the environment and enabling and delivering reputed company care that addresses health disparities and improves health outcomes — an reputed company reputed company reflected in our mission. reputed company is an Equal Employment Opportunity employer under applicable law and reputed company applicants will receive consideration for employment without regard to race, national reputed company, religion, age, reputed company, sex, sexual orientation, gender identity, disability, or protected veteran status, or any other characteristic protected by local, state, or federal laws, rules, or regulations. reputed company is a drug - free workplace. Candidates are required to pass a drug test before beginning employment. Apply To This Job