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Thread: DRG Recovery Auditor

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    Join Date
    Apr 2007

    Default DRG Recovery Auditor

    AAPC: Back to School
    DRG Recovery Auditor
    Amenity Consulting, LLC - Columbia, SC 29212
    Created on Oct 27, 2010
    Amenity Consulting, LLC is recruiting for contract positions for to supplement Medicare and Medicaid Managed Care and Recovery Audit Contractor (RAC) medical record audits. The auditor will demonstrate expertise on various payment methodologies utilized in the Medicaid, Medicare and managed care environments and apply this through application of regulatory guidance and plan policies and procedures.
    The ideal candidate will possess five or more years in auditing in the payer, program integrity and/or RAC environment utilizing the following methodologies:
    Required Qualifications:
    In depth knowledge of CMS hospital based coding/billing regulations, AHA Coding Clinic guidance and Official ICD-9-CM Coding Guidelines
    Excellent writing skills
    Medicare and Medicaid policy expertise
    Healthcare claims auditing experience
    Ability to be productive in a results oriented, fast paced and dynamic environment
    Preferred Qualifications:
    CFE or AHFI credential
    RN, LPN or other clinical background (must also have coding credential)
    Experience in coding and medical review training
    Other pertinent credentials/certifications
    These are telecommute positions from any US state.

    Kristen K. Folding, RHIA, CCS, CCS-P
    Amenity Consulting, LLC
    7001 St. Andrews Road, #348
    Columbia, SC 29212
    Voice 803.465.5123
    Fax 803.732.7765
    Last edited by jschmor; 11-06-2010 at 10:23 AM.

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