Data Quality Auditor

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Job Description:

  • Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and Medicaid Services (CMS).
  • Proven ability to support coding judgment and decisions using industry standard evidence and tools.
  • Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians.
  • Identify clinically active vs. historical conditions.
  • Conducts 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.
  • Computer proficiency including experience with Microsoft Office products (Word, Excel, Access, PowerPoint, Outlook, industry standard coding applications).
  • Experience with International Classification of Disease (ICD) codes required.

Benefits:

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