Telecommute Quality Assurance Auditor

Location: Nationwide

Compensation: Hourly

Staff Reviewed: Fri, Feb 19, 2021

This job expires in: 14 days

Job Category: Quality Assurance

Remote Level: 100% Remote

Weekly Hours: Full Time

Employer Type: Employer

Career Level: Experienced

Education Level: Some College, Bachelors

Job Summary

A global healthcare company needs applicants for an opening for a Telecommute Quality Assurance Auditor.

Candidates will be responsible for the following:

  • Directing and guiding on clinical quality improvement and management programs
  • Conducting clinical quality audits and may also be responsible for NCQA requirements
  • Evaluating clinical documentation to ensure accurate coding

Skills and Requirements Include:

  • Associate degree or higher or significant equivalent work experience
  • 1+ years of experience creating compliant Provider queries
  • 5+ years of experience ICD-9 / 10 coding, preferably in a Managed Care setting, with attention to detail and high accuracy rate
  • Microsoft Office proficiency (Word, Excel, PowerPoint & Outlook)
  • 2+ years of Provider education experience – communicating directly with providers
  • 2+ years of Medicare Risk Adjustment experience with proficient knowledge of CMS – HCC model and guidelines

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