Quality Assurance Auditor

MedStar Health; Teaneck Township (NJ); Remote; USD 80,000 - 100,000; Full time

Job summary

Join a leading healthcare organization as a Quality Assurance Auditor and play a crucial role in ensuring the accuracy and compliance of medical records. This full-time remote position offers a competitive salary and a comprehensive benefits package, emphasizing professional growth and well-being.

Benefits

Health, dental, and vision plans

401(k) retirement plan

Paid Time Off (PTO)

Tuition discounts with numerous universities

Qualifications

• 7+ years of experience in billing, coding, and medical records.
• Knowledge of current ICD, CPT, and HCPCS versions.
• Completion of USON Reimbursement tutorials.

Responsibilities

• Conduct audits of paper and EMR charts for compliance.
• Prepare detailed spreadsheets of audit findings.
• Engage with physicians to discuss audit results.

Skills

Attention to detail

Communication skills

Organizational skills

Education

High School diploma

Job description

Overview

Join RCCA as a Quality Assurance Auditor!

Are you someone who thrives on ensuring excellence and precision? Do you enjoy working remotely while making a tangible impact on organizational success? RCCA is on the hunt for a talented Quality Assurance Auditor to join our team and drive our commitment to quality and compliance.

Employment Type: Full Time

Location: Remote

Compensation: $24.36 - 32.88 per hour

Compensation packages base on your unique skills, experience, and qualifications

As of the date of this posting, RCCA offers a comprehensive benefits package for this position, subject to eligibility requirements. In addition to the salary, we provide: Health, dental, and vision plans, Wellness program, Health savings account - Flexible spending accounts, 401(k) retirement plan, Life insurance, Short-term disability insurance, Long-term disability insurance, Employee Assistance Program (EAP), Paid Time Off (PTO) and holiday pay, Tuition discounts with numerous universities.

We believe these benefits underscore our commitment to the well-being and professional growth of our employees.

Responsibilities

• Conduct thorough audits of paper and EMR charts for medical or radiation oncology physicians/providers, in line with USON requirements, to ensure accuracy and compliance of medical records with billing practices.
• Utilize a variety of reports such as AMA guidelines, Medicare LCDs, commercial payor billing guidelines, coding manuals, and ASTRO/ACR guidelines to perform audits.
• Prepare detailed spreadsheets of findings, identify discrepancies, and summarize metrics to spotlight trends that may indicate non-compliance with regulatory guidelines.
• Identify procedural improvements and training opportunities, providing written audit reports to supervisors for review.
• Engage with physicians and mid-level providers to discuss audit findings and recommend improvement opportunities.
• Maintain confidentiality of medical records and assist with a range of audits as assigned.

Qualifications

• High School diploma with at least seven (7) years of experience in billing, coding, and medical records.
• Completion of required USON Reimbursement tutorials as mandated by the Compliance Department.
• Comprehensive knowledge of managed care, HMO policies, procedures, and Medicare benefits.
• Strong knowledge of current ICD, CPT, and HCPCS versions.

COMPETENCIES:

• Accurate math skills and attention to detail.
• Strong oral and written communication skills.
• Excellent organizational and follow-up skills.
• Ability to work independently and research issues, applying relevant laws and standards.

PHYSICAL DEMANDS:

• Regularly required to sit or stand, talk, and hear.
• Frequently use hands to finger, handle, or feel, and occasionally reach with hands and arms.
• Frequently lift and/or move up to 10 pounds.

WORK ENVIRONMENT:

• Clinical environment with frequent interaction with staff, patients, and the public.
• Minimal travel by automobile may be required.