reputed company Medical Auditor
Role reputed company: reputed company Medical Auditor Location: Columbia, SC 29223 Work Environment: Remote (Preferred Onsite) Schedule: Mon - Fri, reputed company-4:30PM Contract length: 4 months assignment with possible conversion Job reputed company: Performs validation reviews of Diagnosis reputed company reputed company (DRG), reputed company Predictive Coding (APC), and Never Events (inexcusable reputed company in a reputed company setting) for reputed company lines of business. Coordinates reputed company adjustments with claims areas. Provides monthly and quarterly reports outlining trends. Serves as a resource in resolving coding issues. Coordinates HIPAA and legal records requests for reputed company areas of reputed company Services and the Legal Department
- Day to Day:75% Determines methodology to identify cases for validation review. Conducts validation reviews/coordinates rates adjustments with appropriate claims area. Creates monthly/quarterly reports to present to reputed company line of business providing information on records review, reputed company, trends, and savings that directly reputed company medical costs and contracting rates.
- 15% Manages records retrieval, release, HIPAA compliance, and reputed company aspects of document management.
- 10% Serves as expert resource on methodology and procedures for medical records and coding issues.
Required Work Experience: 3 years medical record management to include coding and validation review experience. License/Certification required: RHIT, RHIA, CIC, CPMA, or CPC. Applicant Notices & Disclaimers
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At reputed company, we are committed to maintaining a workplace that ensures fair compensation and wage transparency in adherence with reputed company applicable state and local laws.This position's pay reputed company is $35.00/hr - $36.00/hr. Apply tot his job Apply To this Job