Remote Quality Medical Auditor: DRG & Coding

Spectraforce Technologies; Columbia (SC); Hybrid; USD 60,000 - 85,000; Full time

Job summary

Spectraforce Technologies in Columbia, SC seeks a Quality Medical Auditor to perform validation reviews of DRG, APC, and Never Events across lines of business. You will coordinate rate adjustments with claims and produce monthly and quarterly reports.

The role requires strong knowledge of medical record coding, HIPAA compliance, and data analysis. This contract is 4 months with possible conversion, with a remote-friendly onsite-focused schedule.

Qualifications

• 3 years medical record management including coding and validation review.
• RHIT/RHIA/CIC/CPMA or CPC certification.

Responsibilities

• Determine methodology to identify cases for validation reviews and coordinate rate adjustments.
• Manage records retrieval, release, HIPAA compliance, and document management.
• Serve as expert resource on medical records and coding processes.

Skills

Medical Records Management

Coding

Validation Review

Education

RHIT/RHIA/CIC/CPMA/CPC

Job description

Spectraforce Technologies in Columbia, SC seeks a Quality Medical Auditor to perform validation reviews of DRG, APC, and Never Events across lines of business. You will coordinate rate adjustments with claims and produce monthly and quarterly reports.

The role requires strong knowledge of medical record coding, HIPAA compliance, and data analysis. This contract is 4 months with possible conversion, with a remote-friendly onsite-focused schedule.