MaconRecruiter Since 2001
the smart solution for Macon jobs

Coding Quality Auditor

Company: Aetna
Location: Macon
Posted on: February 10, 2020

Job Description:

Req ID: 68528BRJob DescriptionResponsible for performing audits of medical records to ensure the ICD-10 codes that are submitted to the Centers for Medicare and Medicaid Services (CMS) for the Risk Adjustment Payment System (RAPS) are appropriate, accurate, and supported by written clinical documentation in accordance with all state and federal regulations and internal policies and procedures.Fundamental Components included but are not limited to:Performs audits of medical records to ensure all assigned ICD-10 codes are accurate and supported by written clinical documentation. Provides education to internal staff and external providers based on audit findings; provides general education on ICD-10 codes as appropriate. Effectively communicates the audit process and results to the appropriate departments and management. Assists senior level staff in providing recommendations for process improvement so that productivity and quality goals can be met or exceeded and operational efficiency and financial accuracy can be achieved. Maintains current knowledge of ICD-10 codes, CMS documentation requirements, and state and federal regulations. Performs other related duties as required.Qualifications Requirements and Preferences:Experience with Microsoft Office products (Word, Excel, Project, PowerPoint, Outlook).Experience with ICD-10 codes required.Experience with Medicare and/or Medicaid Risk Adjustment process requiredCPC (Certified Professional Coder) or CCS-P (Certified Coding Specialist-Physician) requiredMinimum of 2 years recent and related experience in medical record documentation review, diagnosis coding, and/or auditing.Excellent analytical and problem solving skillsEffective communications, organizational, and interpersonal skills. High School Diploma or G.E.D.Licenses/Certifications:Information Technology - Certified Professional Coder (CPC)Benefit EligibilityBenefit eligibility may vary by position.Job Function: Quality ManagementAetna is an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected Veterans status.

Keywords: Aetna, Macon , Coding Quality Auditor, Accounting, Auditing , Macon, Georgia

Click here to apply!

Didn't find what you're looking for? Search again!

I'm looking for
in category
within


Other Accounting, Auditing Jobs


Senior Accountant
Description: Great opportunity for a motivated accountant to join a team that actually likes where they work This position will work with the corporate controller across many departments. They will be
Company: The Bolton Group
Location: Atlanta
Posted on: 02/25/2020

Property Accountant
Description: OverviewOUR ATTITUDEAt Peak Campus, its about more than student apartments. Its about our passion for our people and their passion for you. Its about creating value for our partners by providing a home (more...)
Company: Peak Campus
Location: Atlanta
Posted on: 02/25/2020

Senior Accountant
Description: Key information from Hiring Manager: Area of focus: More financial reporting/analytical experience as opposed to just general accounting and not financial reporting Ensuring we find someone that takes (more...)
Company: Assurant
Location: Atlanta
Posted on: 02/25/2020


Accounts Receivable Clerk
Description: About UsNestled into Perimeter Summit and surrounded by ultra-chic neighborhoods like Buckhead and Brookhaven, Hyatt Regency Atlanta Perimeter at Villa Christina, a lavish urban hotel with the comfort (more...)
Company: Hyatt Regency Atlanta Perimeter at Villa Christina
Location: Atlanta
Posted on: 02/25/2020

Front Desk / Accounting Clerk
Description: FRONT DESK / ACCOUNTING CLERK We are looking for an organized, efficient Front Desk / Accounting Clerk with an eye for detail and high level of accuracy. Responsibilities: ul Answer 2-line phone system. (more...)
Company: The GETT Crew, LLC
Location: Atlanta
Posted on: 02/25/2020

Staff Accountant
Description: We are seeking candidates for a permanent Staff Accountant - opening in Sandy Springs. - PURPOSE OF THE POSITION: -Assist in performing the corporate accounting function including the month-end close, (more...)
Company: Quest Financial
Location: Atlanta
Posted on: 02/25/2020

FT Accountant (2224)
Description: Our client, a financial services firm, in the Buckhead area of Atlanta is looking for a Full-time Accountant to add to their growing team. The Accountant will oversee new accounts payable software and (more...)
Company: Innovative Outsourcing
Location: Atlanta
Posted on: 02/25/2020

Senior Accountant (Contract)
Description: Job Title: Senior Accountant Contract Special
Company: The Bolton Group
Location: Atlanta
Posted on: 02/25/2020

Senior Accountant
Description: Omni International, located in Kennesaw, GA, is seeking a Senior Accountant to join our growing team. Local Candidates Only Omni International is a leading manufacturer of scientific equipment and consumables (more...)
Company: Omni International, Inc.
Location: Kennesaw
Posted on: 02/25/2020

Internal Auditor 3
Description: OverviewAt WellStar, we all share common goals. Thats what makes us so successful and such an integral part of our communities. We want the same things, for our organization, for our patients, and for (more...)
Company: WellStar Health Systems
Location: Marietta
Posted on: 02/25/2020

Log In or Create An Account

Get the latest Georgia jobs by following @recnetGA on Twitter!

Macon RSS job feeds