Perform second level quality inter-rater review audits of medical records coded by internal team and external vendor if applicable
Ensure ICD codes submitted to CMS are appropriate, accurate, and supported by clinical documentation
Act as mentor to provide education to internal staff based on audit findings
Conduct process audits to ensure compliance with internal policies and procedures
Work independently and collaboratively with other teams

Minimum of 3 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing
Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P)
CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required
CRC (Certified Risk Adjustment Coder) required within the first six months
CPMA (Certified Professional Medical Auditor), CDEO (Certified Documentation Expert Outpatient) or CPC-I (Certified Professional Coding Instructor) preferred
Excellent analytical and problem-solving skills
Superior communication, organizational, and interpersonal skills

Data Quality Auditor Analyst

Key skills