Remote Medicare Coding QA Auditor for Risk Adjustment

DaMar Staffing; United States; On-site; USD 65,000 - 85,000; Full time

Job summary

DaMar Staffing is seeking a full-time Certified Medicare Coding Auditor to work remotely in the United States. The role involves auditing data submissions to CMS, assisting in risk adjustment data audits, and analyzing audit results for process improvement.

The candidate should have Medicare Risk Adjustment coding experience, active CCS/CCS-P/CPC/CRC/RHIT/RHIA certification, and proficiency with MS Office and EHR systems like Epic or Allscripts.

Qualifications

• Minimum three years of Medicare Risk Adjustment coding experience.
• Completion of a Medical Coding training program and active certification.
• Proficient in MS Office and EHR software (Epic/Allscripts).

Responsibilities

• Conducts regular quality assurance audits of the internal Coding Analyst Team to validate coding accuracy and quality.
• Tracks and reports progress of audits on coding vendors to ensure data accuracy for CMS submissions.
• Collaborates with Risk Adjustment Management on data validation and coding audits to ensure completeness and accuracy of submissions.

Skills

MS Office Suite

QA audits

Coding audits

Education

High School Diploma or GED

Medical Coding training program

Certified coder credentials (CCS/CCS-P/CPC/CRC/RHIT/RHIA)

Tools

Epic

Allscripts

Job description

DaMar Staffing is seeking a full-time Certified Medicare Coding Auditor to work remotely in the United States. The role involves auditing data submissions to CMS, assisting in risk adjustment data audits, and analyzing audit results for process improvement.

The candidate should have Medicare Risk Adjustment coding experience, active CCS/CCS-P/CPC/CRC/RHIT/RHIA certification, and proficiency with MS Office and EHR systems like Epic or Allscripts.