Spectraforce Technologies
Phoenix, AZ
Job Title: Quality Assurance Coder/Auditor
Location: Phoenix, AZ (Hybrid, Required to Travel into the office 1 x per week)
Duration: 6 Months (possibility of extension or conversion)
Department: Medicare/ Medicaid
Purpose
The Quality Assurance Coder/Auditor will develop a risk mitigation and provider education program. On a regular basis, the Coder/Auditor will educate primary care providers and their staff on their historical diagnoses/coding error trends, accurate completion of medical record documentation, and at‑risk code identification and risk mitigation. This includes the review, analysis, and recommended coding based on medical and clinical diagnoses, procedures, injuries, or illnesses contained in medical records and supporting documentation.
The Quality Assurance Coder/Auditor will perform risk mitigation analysis using available vendor tools to identify at‑risk single occurrences of HCCs and OIG targets. Deletions will be submitted for unsupported/invalid...