Virtual Risk Adjustment Quality Assurance Auditor

Job ID: Available for Members

Location: Nationwide

Compensation: To Be Discussed

Posted: Wednesday, April 11, 2018

Job Category: Healthcare, Quality Assurance

Telecommute Level: Majority

Travel Requirements: Some Travel

Weekly Hours: Day Shift, Full Time

Employment Status: Permanent

Employer Type: Employer

Career Level: Experienced

Education Level: Some College

Job Summary

A healthcare and health insurance company is searching for a person to fill their position for a Virtual Risk Adjustment Quality Assurance Auditor.

Must be able to:

  • Ensure that Optum Coding Guidelines are consistently applied in all processes
  • Provide ICD10-CM coding training, as it relates to HCC coding, as requested
  • Assist with execution of Internal Risk Adjustment Coding Review programs

Qualifications Include:

  • Up to 5% travel for local meetings for Florida residents only
  • Coding Certification required
  • Associates' degree or higher
  • 5 years of recent experience ICD - 9/10 coding
  • 2 years of recent Medicare Risk Adjustment experience
  • 2 years of coding experience working in a provider's office or for a Medicare Advantage health plan