Remote Quality Review and Audit Analyst

Location: Nationwide
Compensation: Hourly
Staff Reviewed: Mon, Apr 25, 2022
This job expires in: 8 days
Job Summary

A healthcare, life insurance, accident insurance, and Medicaid and Medicare services company is searching for a person to fill their position for a Remote Quality Review and Audit Analyst.

Must be able to:

  • Apply longitudinal thinking to identify all valid and appropriate data elements
  • Conduct medical records reviews
  • Perform various documentation and data audits with identification of gaps and/or inaccuracies in risk adjustment data

Must meet the following requirements for consideration:

  • High school diploma
  • Familiarity with CMS regulations for Risk Adjustment programs
  • At least one of the following AHIMA or the AAPC
  • Experience with medical documentation audits and medical chart reviews and proficiency with ICD-10-CM coding guidelines
  • Computer competency with excel, MS Word, Adobe Acrobat
COMPLETE JOB DESCRIPTION

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