Virtual Vocations Inc

Providing coding quality auditing services, the remote Quality Assurance Auditor will ensure compliance with coding guidelines and maintain a minimum 96% coding accuracy rate while supporting various coding initiatives across Care Delivery. Key responsibilities: Assist with the execution of the National Quality Assurance program's daily activities Perform first-level quality audits on vendor and Care Delivery coding teams' results Identify issues and trends in coding and documentation that affect coding accuracy and recommend process improvements Required qualifications: Coding Certification required (CPC, COC, CIC, CCS, CCS-P, or RHIT; CPC-A or CCA not acceptable) 4+ years of recent ICD-10-CM coding experience, preferably in a Managed Care setting 2+ years of recent Medicare Risk Adjustment experience (HCC coding) with knowledge of CMSHCC model and guidelines 1+ years of recent experience in a coding auditor role Ability to work during normal business hours, Monday-Friday, with...

Working remotely, the full-time salaried Compliance Auditor will conduct audits to evaluate compliance with federal and state regulations, focusing on revenue cycle departments and clinical documentation while collaborating with various teams to present findings aimed at reducing risk. Key responsibilities Conduct audits of clinical and non-clinical services to ensure compliance with relevant regulations and policies Analyze data from Clinical EMR and Epic Billing systems, reviewing charges, codes, and supporting documentation for accuracy Present audit findings collaboratively to stakeholders, aiming to mitigate risks within the organization Required qualifications Bachelor's Degree in Business, Healthcare, Finance, or a related field, or 5 years of recent hospital billing auditing or coding experience 5 years of recent hospital billing auditing or coding experience

To ensure compliance with regulatory and organizational requirements, the full-time Certified Compliance Auditor will perform risk-based audits of clinical documentation, coding, and billing records, while working remotely and managing audit workloads independently. Key responsibilities Conduct risk-based audits of clinical documentation and billing records to validate compliance with regulations Evaluate accuracy in coding, billing, and documentation practices, and identify compliance risks Prepare audit reports summarizing findings and recommendations for compliance leadership and stakeholders Required qualifications Bachelor's Degree in Health Information Management, Healthcare Administration, or related field, or equivalent experience 3 years of progressive experience in coding or regulatory compliance auditing in a healthcare setting Strong knowledge of federal and state laws, third-party payer regulations, and documentation requirements Certified Professional Coder (CPC)...

Working remotely, the full-time Certified Coding Auditor will ensure accurate and timely reimbursement by resolving medical coding claim defects, optimizing the revenue cycle, and maintaining financial integrity. Key responsibilities Research and review coding-related claim denials, providing expert guidance on necessary corrections to prevent future issues Proactively address pre-billing resolution of coding defects to safeguard against reimbursement impacts Utilize a robust understanding of medical coding and reimbursement methodologies to maximize financial accuracy and efficiency Required qualifications High school diploma or equivalent Minimum of one (1) year of coding experience or two (2) years in a healthcare environment or medical office setting Certification from AAPC or AHIMA, such as CPC, CCA, CCS, CCS-P, RHIT, or RHIA Working knowledge of human anatomy, physiology, disease processes, and medical terminology Ability to work under pressure to meet deadlines with...

Overseeing a team of collection staff, the full-time Supervisor, Medical Collections will ensure efficient resolution of outstanding accounts, mentor staff on collection regulations, and manage performance reporting in a remote setting. Key responsibilities Supervises and trains collection staff while preparing performance reports Ensures timely payment of invoices and maintains accurate records and control reports Advises upper management on insurance denial trends and resolves complex collection issues Required qualifications High School diploma or equivalent Minimum 3 years of relevant experience in medical collections Proficiency in computer software, including Microsoft Office Ability to lead, motivate, and train others Commitment to the University's core values

To support compliance initiatives, the full-time California Licensed Compliance Auditor will conduct audits evaluating adherence to federal and state regulations, focusing on revenue cycle processes while working remotely. Key responsibilities Conduct audits on clinical and non-clinical services to ensure compliance with regulations and internal policies Analyze data from Clinical EMR and Epic Billing systems, identifying discrepancies and ensuring accuracy in billing practices Collaborate with various departments to present audit findings and contribute to risk reduction efforts Required qualifications Bachelor's Degree in Business, Healthcare, Finance, or a related field, or 5 years of relevant hospital billing auditing experience 5 years of recent experience in hospital billing auditing or coding

Conducting audits to evaluate compliance with federal and state regulations, the full-time Remote Compliance Auditor will analyze data across clinical and billing systems, collaborate with various departments, and present findings to reduce risk within the organization. Key responsibilities Perform audits on revenue cycle departments and external vendors to ensure compliance with regulations and internal policies Analyze line-item charges, revenue codes, and supporting documentation to identify discrepancies and ensure accuracy Collaborate with cross-functional teams and present audit findings to promote risk reduction strategies Required qualifications Bachelor's Degree in Business, Healthcare, Finance, or a related field, or 5 years of recent hospital billing auditing or coding experience 5 years of recent hospital billing auditing or hospital coding experience

To support a growing compliance team, the full-time Washington Licensed Compliance Auditor will conduct audits to evaluate adherence to Federal and State laws, regulatory rules, and internal policies while working remotely. Key responsibilities Conduct audits across various revenue cycle departments, focusing on compliance with laws and regulations Analyze data from Clinical EMR and Epic Billing systems, reviewing charges, codes, and supporting documentation Present audit findings collaboratively to reduce risk and ensure compliance within the organization Required qualifications Bachelor's Degree in Business, Healthcare, Finance, or a related field, or 5 years of relevant experience in hospital billing auditing or coding 5 years of recent experience in hospital billing auditing or hospital coding

Seeking a New York Licensed RN Coding Auditor, the full-time remote position will validate acute inpatient coded charts, ensuring diagnostic information aligns with medical record documentation, while leveraging clinical expertise to identify DRG code assignments. Key responsibilities Conduct comprehensive reviews of CDI suggested code changes and perform coding audits for optimization Audit Medicare and non-Medicare charts to ensure compliance with federal and state regulations Communicate DRG changes and rationale to coding and CDI staff, identifying necessary coding adjustments Required qualifications Graduate from an accredited School of Nursing Bachelor's Degree in Nursing or equivalent combination of education and experience Current License to practice as a Registered Professional Nurse in New York State Specialized certifications such as HCS-D and COS-C are required Prior CHHA Nursing experience is strongly preferred

To support compliance efforts, the full-time Texas Licensed Compliance Auditor will conduct audits on clinical and non-clinical services, analyze data across EMR and billing systems, and collaborate with various teams to ensure adherence to federal and state regulations while working remotely. Key responsibilities Conduct audits to evaluate compliance with federal and state laws and organizational policies Analyze data from clinical EMR and Epic Billing systems, reviewing charges and supporting documentation Present audit findings collaboratively to reduce risk within the organization Required qualifications Bachelor's Degree in Business, Healthcare, Finance, or a related field, or 5 years of relevant hospital billing auditing experience 5 years of recent experience in hospital billing auditing or hospital coding

To support clinical trials in endocrine indications, the full-time remote Associate Director of Medical Writing will draft and edit scientific publications, collaborate with cross-functional teams, and ensure alignment with strategic goals. Key Responsibilities Draft, revise, and edit scientific publications, including manuscripts, abstracts, and presentations for medical conferences Collaborate with the Publication Planning team to coordinate timelines and kick-off calls with investigators Participate in meetings with clinical trial investigators to manage the editing and revision process of scientific publications Required Qualifications MS/PhD/PharmD or 8+ years of experience in writing scientific publications Familiarity with endocrinology and/or rare disease is a benefit Understanding of US and international regulations related to scientific publications Ability to work directly from clinical documents to draft publications Professional credentials/certification (e.g.,...

To support compliance efforts, the full-time Oregon Licensed Compliance Auditor will conduct audits to evaluate adherence to Federal and State laws, focusing on revenue cycle processes while working remotely. Key responsibilities Conduct audits across clinical and non-clinical services, including revenue cycle departments and billing offices Analyze data from Clinical EMR and Epic Billing systems to ensure accuracy and compliance Present audit findings collaboratively to reduce risk within the organization Required qualifications Bachelor's Degree in Business, Healthcare, Finance, or a similar field, or 5 years of relevant auditing experience 5 years of recent experience in Hospital billing auditing or Hospital coding

To support compliance efforts, the full-time New Mexico Licensed Compliance Auditor will conduct audits on clinical and non-clinical services, focusing on revenue cycle processes while working remotely. Key responsibilities Conduct audits to evaluate compliance with federal and state regulations, as well as internal policies Analyze data across Clinical EMR and Epic Billing systems, reviewing line-item charges and supporting documentation Present audit findings collaboratively to reduce compliance risks within the organization Required qualifications Bachelor's Degree in Business, Healthcare, Finance, or a similar field, or 5 years of relevant hospital billing auditing experience 5 years of recent hospital billing auditing or hospital coding experience

To support a growing compliance team, the full-time remote Montana Licensed Compliance Auditor will conduct audits to evaluate adherence to federal and state regulations, focusing on revenue cycle processes and collaborating with various departments to ensure accuracy and compliance. Key responsibilities Conduct audits of clinical and non-clinical services to assess compliance with regulations and internal policies Analyze data from clinical EMR and Epic Billing systems, reviewing charges, codes, and supporting documentation Present audit findings collaboratively to reduce risk and ensure compliance across the organization Required qualifications Bachelor's Degree in Business, Healthcare, Finance, or a related field, or 5 years of relevant hospital billing auditing experience 5 years of recent experience in hospital billing auditing or coding

Providing support for compliance auditing activities, the full-time remote Compliance Auditor will evaluate adherence to regulatory requirements and internal policies while identifying compliance gaps and recommending improvements to mitigate risks related to fraudulent practices. Key responsibilities Perform ongoing compliance audits using state evaluation tools related to audit and monitoring activities Identify audit scope and criteria, review evidence, document findings, and recommend improvements Advise departments on compliance risks concerning federal and state regulations and assist in annual risk assessment and audit planning Required qualifications At least 2 years of experience in audit and/or compliance or equivalent education and experience Knowledge of relevant regulatory frameworks and compliance standards Understanding of internal control concepts and risk assessment methodologies Proficiency in Microsoft Office suite and applicable software programs Experience...

Performing concurrent and retrospective medical coding audits, the full-time Medical Coding Auditor will ensure coding accuracy, regulatory compliance, and documentation quality while collaborating with stakeholders to drive continuous improvement, all in a remote work environment. Key responsibilities Conduct concurrent and retrospective chart audits to validate coding accuracy and adherence to guidelines Analyze audit trends and lead quality improvement initiatives to enhance coding practices Communicate audit findings and provide coaching to coders and internal partners Required qualifications 2+ years of experience in medical chart auditing or quality in the healthcare field Active certification from AAPC and/or AHIMA (e.g., CPC, CRC, CCS) Advanced proficiency in coding guidelines and regulations Strong knowledge of ICD-10-CM/PCS coding guidelines Ability to pass a comprehensive background check upon hire and throughout employment

To support the production of high-quality medical publications, the full-time salaried Associate Director, Medical Writing - Publications will provide expert writing and editing, manage publication projects, and engage with key stakeholders in a remote work environment. Key responsibilities Provide writing and editing support for documents intended for publication in medical/scientific journals and presentations Manage and review data and source documents necessary for publication, including developing publication plans and strategies Oversee outsourced medical writers and manage projects through the publication review system Required qualifications A PhD, MD, or PharmD with a minimum of 5 years of relevant experience, or a Master's degree with at least 8 years of relevant experience Research experience in academia or the pharmaceutical industry, preferably involving publication compilation Demonstrated ability to interpret and organize clinical and scientific data Proficiency...

Working remotely, the full-time Technical Supervisor (Medicall) will oversee the installation, configuration, and troubleshooting of network and application issues while managing a technical team and ensuring customer satisfaction. Key Responsibilities Install and configure server and client components, assisting less experienced consultants as needed Provide proactive problem resolutions and maintain customer relationships through timely communication and support Train customers on company applications and develop documentation for processes and standards Required Qualifications Bachelor's degree 3-5 years of experience supervising teams Experience in the Healthcare IT space

Working remotely from anywhere in the U.S., the full-time Outpatient Coding Compliance Auditor will perform audits of outpatient facility coding to ensure compliance with ICD-10-CM diagnoses, CPT/HCPCS codes, and billing standards while effectively communicating findings to stakeholders. Key responsibilities: Perform coding compliance and quality audits in support of the Compliance Program and client expectations Independently analyze clinical documentation from medical records and validate coding accuracy for outpatient facilities Identify audit findings and calculate billing error rates, providing follow-up validation for corrective action plans Required qualifications: Certified Professional Coder (CPC), Certified Coding Specialist (CCS), or Certified Outpatient Coder (COC) 5+ years of Outpatient Facility coding experience, including knowledge of NCCI/OCE billing edits 5+ years of Outpatient Facility audit experience, including familiarity with Medicare regulations and OPPS...

Working remotely in the Pacific Time zone, the part-time Medical Billing and Collections Specialist will be responsible for the timely processing of patient accounts receivable billing and collections, handling insurance follow-ups, billing edits, and cash posting while meeting productivity goals. Key Responsibilities Follow up on unpaid accounts, review claims for underpayments, and process formal insurance appeals Monitor and edit billing worklists, resolve claims edits, and address electronic payer rejections Post payments and adjustments accurately, manage undistributed payments, and process refund requests Required Qualifications High School diploma or GED equivalent required Hands-on knowledge of Microsoft Office and foundational knowledge of a major medical accounts receivable system, such as Epic Strong familiarity with insurance and medical terminology, as well as medical reimbursement policies Working knowledge of major payer types, including Medicare and Medicaid...

Providing expert analysis and education, the full-time remote Certified Coding Auditor and Educator will conduct comprehensive audits, deliver targeted training, and ensure compliance with coding standards in professional services. Key responsibilities Conduct comprehensive audits of coding and documentation for accuracy and compliance with regulatory guidelines Provide actionable feedback to improve documentation quality and coding accuracy for providers and coders Develop and deliver education and training programs based on audit findings and regulatory updates Required qualifications Associate degree in Health Information Management or a related field, or equivalent education and experience Comprehensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, as well as medical terminology and regulatory guidelines Three to five years of professional coding or auditing experience Certification as a Registered Health Information Technician (RHIT), Registered Health Information...

To support a growing pediatric practice, the remote Coding Compliance Auditor will ensure accurate and compliant coding by reviewing medical records, conducting audits, and collaborating with clinical and compliance teams in a high-growth environment. Key responsibilities Review medical records and clinical documentation to ensure compliance with coding standards and regulations Conduct routine and focused coding audits to identify discrepancies and compliance risks Communicate audit findings and provide education to providers and coding staff to enhance documentation practices Required qualifications 5+ years of experience in professional fee coding and auditing, with a focus on E/M and outpatient coding Knowledge of medical terminology and coding systems such as CPT, HCPC, ICD-10, and DRG Prior coding or auditing experience in a Medicaid environment Bachelor's degree in healthcare management or related field preferred CPC, CCS, and CPMA certifications required

Managing a team of non-exempt employees, the full-time Medical Operations Supervisor will oversee operational activities across various departments while working remotely from anywhere in the U.S. Key responsibilities: Manages non-exempt employees and provides direction according to company policies Reviews and analyzes operational reports and confers with management to plan activities and address challenges Evaluates and implements improved procedures to achieve departmental objectives Required qualifications: 5+ years of operational experience 3+ years of managerial experience Experience with Epic, Word, Excel, and PowerPoint Proven knowledge of operations management in a medical billing office Excellent organizational and management skills

Managing multiple projects remotely, the full-time Medical Auditor Project Lead will oversee client needs, perform production work, maintain audit standards, and provide feedback to auditors while ensuring high-quality deliverables. Key responsibilities Oversee project management and client expectations to ensure timely and quality deliverables Audit medical records and validate clinical documentation to meet quality standards Prepare audit findings and provide recommendations based on detailed analysis Required qualifications CPC certification required; CPMATM or RHIT preferred Extensive experience in coding, billing, auditing, and compliance within the healthcare industry Proficient knowledge of AMA, OIG, CMS, and national coding guidelines Experience in developing training materials and delivering presentations Demonstrated ability to manage multiple projects simultaneously