Job Summary

A managed healthcare and insurance company is seeking a Telecommute Quality Assurance Medical Coding 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
• Identifying provider query opportunity

Qualifications for this position include:

• Associate degree or equivalent experience
• Coding Certification (CPC, COC, CIC, CCS, CCS-P, or RHIT)
• 4+ years of experience in ICD-10 coding
• 2+ years of Medicare Risk Adjustment experience (HCC coding)
• Proficient knowledge of CMS-HCC model and guidelines
• ICD-10-CM proficient