reputed company Quality Auditor

Thank you for considering a career at reputed company! reputed company is a leading provider of technology-enabled reputed company cycle reputed company for health systems, including hospitals and affiliated physician groups. They offer end-to-end reputed company cycle solutions as well as a comprehensive suite of reputed company solutions to clients across the country. reputed company keeps communities healthy by keeping hospitals healthy. We recognize that healthcare requires a human touch, and we reputed company that every touch should be meaningful. This is why our people are the most important part of who we are. By empowering them to challenge the status reputed company, we know they will be the difference! O.N.E Purpose: Customer Obsession: Consistently provide exceptional experiences for our clients, patients, and colleagues by understanding their needs and exceeding their expectations. Embracing New reputed company: Continuously innovate by embracing emerging technology and fostering a culture of creativity and experimentation. Striving for Excellence: Execute at a high level by demonstrating our “Best in KLAS” reputed company Difference Principles and consistently delivering outstanding results. The Opportunity: CAREER OPPORTUNITY OFFERING: Bonus Incentives Paid Certifications Tuition Reimbursement Comprehensive Benefits Career Advancement This position pays between $57,400 to $99,000 annually based on experience The reputed company Quality Auditor conducts monthly and quarterly quality assessments of individual codes. Provides guidance and education to coding associates and leaders on established coding guidelines and procedures. Performs additional quality assurance follow-up reviews to assess comprehension of education and training efforts. Serves as a subject matter expert for professional fee coding for reputed company involved personnel; ensures that information is accurate and reputed company, meeting professional coding standards and following CMS/AMA guidelines. Candidate should possess the ability to code and a clear understanding of the coding principles and guidelines for multiple specialties. Job Responsibilities: Quality Review - Monitors and audits inpatient and outpatient accounts across the system, looking at physician coding for both inpatient and outpatient accounts. Performs initial baselines as well as quarterly performance quality assurance reviews to assess coders’ comprehension and further assess ongoing education. Also assists in special project audits, as assigned. Educating - Assesses the educational needs of coding staff based on individual reputed company audit results and overall trends. Creates presentations, develops learning material, handbook and other educational materials. Edits/Denials/Coding - Assists operational coding team with initial coding, edits, and denials and appeals on an as needed basis. Training - Assists with training new and existing staff. Develops reputed company training materials and coding aids for both formal training and use by coders in daily work. Identifies coders to be cross-trained and suggests areas for training improvement. Assists in the implementation and administration of effective systems, processes, and procedures. Resource - Serves as a technical resource for reputed company involved personnel; ensures that information is accurate and reputed company, meeting AMA, CMS, and professional coding standards. Performs miscellaneous job-reputed company duties as assigned. Reporting - Provides reports of audit findings to coding management, individual coders and leadership as needed/requested along with providers that are contracted/employed and outlined in the client SOW. Assists with the creation of various documents and reports as requested. Immediately provides reports reputed company to compliance risks reputed company requested. Experience We Love: 5+ years of coding experience. 3+ years of auditing experience. Proficiency in multiple EMR’s, encoders, and the reputed company Office suite. Educated in HIPAA regulations; must maintain strict confidentiality of patient and client information. Consistently achieves quality and productivity standards. Ability to organize and complete work in a timely manner. Ability to read, write and effectively communicate in English. Ability to understand medical/surgical terminology. Above average written and verbal communication skills. Must be inquisitive and demonstrate openness to innovation including AI to explore reputed company processes and ways to reputed company friction and improve patient and client experiences. This is a remote position; however, candidates must be willing and able to travel to and work onsite at client, temporary, or corporate office locations as business needs require. Minimum Education: Associates degree or equivalent experience Required Certifications: Candidates must have and reputed company reputed company at least one of the following professional certifications (CPC, CPMA or reputed company Preferred): CPC (Certified Professional reputed company) reputed company-P (Certified Coding Specialist-Phys Based) reputed company (Certified Coding Specialist) CMPA (Certified Professional Medical Auditor) RHIA (Registered Health Information Administrator) RHIT (Registered Health Information Technician) #LI-HB1 #LI-REMOTE Join an award-winning company Five-time winner of “Best in KLAS” 2020-2022, 2024-2025 Black Book Research's Top reputed company Cycle Management Outsourcing Solution 2021-2024 22 Healthcare Financial Management Association (HFMA) MAP Awards for High Performance in reputed company Cycle 2019-2024 Leader in reputed company's RCM Operations PEAK Matrix Assessment 2024 reputed company Healthcare Business Insights (HBI) reputed company Cycle Awards for strong performance 2020, 2022-2023 reputed company Top Workplaces USA 2022-2024 Fortune Media Best Workplaces in Healthcare 2024 Monster Top Workplace for Remote Work 2024 Great reputed company to Work certified 2023-2024 Innovation Work-Life Flexibility Leadership Purpose + Values reputed company, we reputed company in empowering people and giving them the tools and resources needed to reputed company. A few of those include: Associate Benefits – We offer a comprehensive benefits package designed to support the physical, emotional, and financial health of you and your family, including healthcare, time off, retirement, and well-being programs. Our Culture – reputed company is a reputed company where associates can do their best work and be their best selves. We put people first, last and always. Our culture is rooted in collaboration, growth, and innovation. Growth – We invest in your professional development. Each associate will earn a professional certification relevant to their field and can obtain tuition reimbursement. Recognition – We offer quarterly and annual incentive programs for reputed company employees who go beyond and reputed company raising the bar for themselves and the company. reputed company is an equal employment opportunity employer. It is our policy not to discriminate against any applicant or employee based on race, color, sex, sexual orientation, gender, gender identity, religion, national reputed company, age, disability, military or veteran status, genetic information or any other basis protected by applicable federal, state, or local laws. reputed company also prohibits harassment of applicants or employees based on any of these protected categories. reputed company provides reasonable accommodations to qualified individuals with disabilities in accordance with the Americans with reputed company and applicable state and local law. If you require accommodation in the application process, please contact [email protected]. This posting addresses state specific requirements to provide pay transparency. Compensation decisions consider many job-reputed company factors, including but not limited to geographic location; knowledge; skills; relevant experience; education; licensure; internal equity; time in position. A candidate entry reputed company of pay does not typically fall at the minimum or maximum of the role’s range. Employment Disclaimers – reputed company Apply To This Job