California Licensed Quality Auditor

Job Summary

Contributing to coding quality audits, the full-time remote California Licensed Quality Auditor will conduct audits, monitor compliance, and enhance coding integrity while ensuring alignment with regulatory requirements and organizational goals.

Key responsibilities:

• Conduct special projects and audits to assess the accuracy and quality of coding and documentation
• Prepare detailed audit reports and provide education on compliance and coding standards
• Collaborate with cross-functional teams to identify and implement improvements in coding processes and workflows

Required qualifications:

• Minimum two (2) years of experience in ICD-10, CPT, and HCPCS coding, including chart auditing
• Associate's degree in Health Information Management, Health Care Administration, or a related field, or equivalent experience
• Registered Health Information Technician or equivalent certification required at hire
• Minimum five (5) years of experience in health care compliance, operations, or related fields preferred
• Experience in conducting coding reviews and audits