Data Quality Auditor

Role Overview

• Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes.
• Ensure codes submitted to CMS are appropriate, accurate, and supported by clinical documentation.
• Adhere to coding guidelines and regulations to meet compliance requirements.
• Conduct self-process audits to ensure compliance with internal policies and procedures as well as regulatory guidance from CMS, OIG or other Regulatory body.

Requirements

• Minimum of 1 year recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.
• CPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) required.
• AA/AS or equivalent experience (preferred).
• Completion of AAPC/AHIMA training program for core credential (CPC, CCS-P) with associated work history/on the job experience equal to approximately 1-2 years for CPC.
• High school diploma or equivalent required.

Benefits

• medical, dental, and vision coverage
• paid time off
• retirement savings options
• wellness programs
• other resources, based on eligibility