Job Summary

A global recovery audit firm is seeking a Telecommute Clinical Validation Auditor.

Must be able to:

• Integrate medical chart coding principles and objectivity in performance of medical audit activities
• Maintain production goals and quality standards set by the audit for the auditing concept
• Provide independent verification of claims validation, insurance or employer validation in a concise written manner

Required Skills:

• Flexible to travel to one of our offices for the first full week of work to focus on training
• Associates Degree or equivalent relevant experience
• Coding certification required and maintained as a condition of employment
• 5 to 7+ years of working with ICD-9/10CM, MS-DRG, AP-DRG and APR-DRG
• Adherence to official coding guidelines, coding clinic determinations and CMS and other regulatory compliance guidelines and mandates
• Requires working knowledge of and applicable industry based standards