Quality Assurance Auditor Position Available In Bergen, New Jersey

Overview 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. The US Oncology Network is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, sexual orientation, gender identity, disability or protected veteran status.