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