EPIC Quality Auditor

Job Summary

Seeking a full-time EPIC Quality Auditor to work remotely, responsible for examining information systems operations, participating in audit planning and execution, and evaluating internal controls to enhance compliance and mitigate risks.

Key responsibilities

• Review and validate professional fee billing accuracy within Epic Resolute PB to identify improvement opportunities and assess risks
• Participate in audit planning and execution by performing audits of system automations and workflows to ensure compliance with regulatory requirements
• Document and report audit findings to management, providing recommendations for strengthening controls and improving billing performance

Required qualifications

• Bachelor's degree or equivalent experience with 4 years of directly related work experience, or a master's degree with 2 years of related experience
• AHIMA or AAPC certification required, with a minimum of 2 years of coding experience in multiple specialties
• Strong knowledge of CPT, HCPCS, ICD-10-CM, and billing workflows
• Experience auditing claims, charges, and billing system processes
• Proficiency with electronic health records and billing systems, including claims data and reporting tools