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:
MS-DRG
AP-DRG
APR-DRG
Required Qualifications:
RHIA, RHIT, CCS or CPC-H
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
Principal
Amenity Consulting, LLC
7001 St. Andrews Road, #348
Columbia, SC 29212
Voice 803.465.5123
Fax 803.732.7765
www.amenityconsulting.com