IVR OP Auditor – PB/HB

This is a fully remote position, open to applicants in United States.

📋 Description

• Conduct regular quality assurance evaluations for clients.

• Perform onboarding quality assurance assessments for newly hired consultants.

• Provide necessary training for newly hired coding consultants.

• Report quality concerns to management.

• Assist in the development, implementation, and monitoring of quality improvement action plans.

• Keep accurate reports and maintain accuracy rates for coding consultants and clients.

• Address client QA requirements under management's direction.

• Deliver educational sessions on trends in coding errors.

• Alert management about compliance issues or incidents.

• Handle patient information in accordance with HIPAA privacy and security regulations.

• Ensure confidentiality and discretion regarding patient information.

• Participate in educational conference calls.

• Provide coding support to the business as required.

• Carry out additional project responsibilities as needed.

• Meet required productivity and quality standards.

• Fulfill coding credential requirements.

• Validate accurate data abstraction into client electronic medical record systems following ICD-10-CM, CPT, HCPCS, AMA CPT, and CMS guidelines.

• Report on quality outcomes and track educational opportunities.

• Offer educational support and training to coders and providers.

• Maintain a coding auditing accuracy rate of 95% or higher while achieving productivity standards.

⛳️ Requirements

• Valid AHIMA or AAPC coding credential is mandatory.

• CIRCC/RCCIR certification is advantageous.

• A minimum of 4 years of coding experience is required.

• At least 4 years of auditing experience is necessary.

• Experience in both professional fee (PB) and facility (HB) IVR auditing is essential.

• Recommended to have at least 2 years of remote work experience.

• Familiarity with HIPAA Privacy and Security Regulations is crucial.

• Capacity to maintain coding credential requirements is expected.

• Excellent collaboration skills are required.

• Strong analytical and problem-solving capabilities are necessary.

• Initiative and drive for achieving results and success are important.

• Commitment to a team-oriented environment is essential.

• Well-developed written, verbal, and presentation communication skills are required.

• Attentive listening and a keen eye for detail are critical.

• Ability to self-motivate and work independently is necessary.

• Strong time management and organizational skills are essential.

• Adherence to the company's Core Values is required.

• Candidates for U.S. based roles must have legal authorization to work in the United States.

• Visa sponsorship is not available.

🏝️ Benefits

• 401(k) plan with company matching.

• Medical insurance coverage.

• Dental insurance benefits.

• Vision insurance available.

• Life insurance protection.

• Short-term disability insurance offered.

• Long-term disability insurance provided.

• Paid Time Off (PTO) policy.

• Opportunity for remote work from a home office setting.