Overview:
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
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:
Qualifications:
PHYSICAL DEMANDS:
WORK ENVIRONMENT:
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.