Remote Outpatient Coding QA Auditor

e4health

Pittsburgh (Allegheny County)

On-site

USD 35,000 - 55,000

Part time

2 days ago
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Benefits offered by this job

401(k) with company match
Medical insurance
PTO policy

Job summary

e4health is seeking a Remote Outpatient Auditor to perform QA reviews of outpatient coding specialists and external providers. The role ensures accurate data abstraction following ICD-10-CM, CPT, HCPCS guidelines and CMS directives, with a target coding accuracy rate of 95%+ and productivity standards.

The position supports onboarding and training of new coders, communicates quality issues to management, and may involve client-facing QA activities in a remote/home-office setting.

Qualifications

  • Candidate must possess an approved AHIMA or AAPC coding credential.
  • Experience with auditing coders and performing QA is required.
  • Minimum 4 years coding experience; specialty experience may be preferred as per client needs.
  • Minimum 3 years auditing experience preferred.
  • Recommend at least 2 years of remote experience.
  • Must be able to work M-F mornings or evenings.

Responsibilities

  • Complete regularly scheduled quality assurance reviews for clients.
  • Complete onboarding QA reviews for newly hired consultants.
  • May provide training for newly hired coding consultants.
  • Communicate quality issues to management as appropriate.
  • Assist with quality improvement action plans for coding consultants.

Skills

AHIMA/AAPC credential
Auditing experience
4+ years coding
QA experience
Remote work experience

Job description

e4health is seeking a Remote Outpatient Auditor to perform QA reviews of outpatient coding specialists and external providers. The role ensures accurate data abstraction following ICD-10-CM, CPT, HCPCS guidelines and CMS directives, with a target coding accuracy rate of 95%+ and productivity standards.

The position supports onboarding and training of new coders, communicates quality issues to management, and may involve client-facing QA activities in a remote/home-office setting.

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