Job Summary

A health insurance company is filling a position for a Remote Quality Assurance Medical Coding Auditor.

Core Responsibilities of this position include:

• Assisting with execution of the daily activities of the Enterprise Quality Assurance program
• Performing first level quality audits on vendor coding results
• Identifying provider query opportunity, creates and sends compliant query to rendering provider

Required Skills:

• Associate degree or equivalent experience
• Coding Certification
• 4+ years of experience in ICD-10 coding
• 2+ years of Medicare Risk Adjustment experience
• Proficient knowledge of CMS-HCC model and guidelines
• ICD-10-CM proficient