Job Summary

A managed healthcare and insurance company has a current position open for a Telecommute Quality Assurance 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
• Performing first level quality audits on Care Delivery coding teams coding results

Qualifications Include:

• Coding Certification required
• 4+ years recent experience ICD-10-CM coding
• 2+ years recent Medicare Risk Adjustment experience (HCC coding) with proficient knowledge of CMS-HCC model and guidelines
• 1+ years recent experience in a coding auditor role