Job Details

Job Description:
A remote position is available for a Prospective Auditor responsible for reviewing claims data identified by a web-based AI tool. The auditor will verify the accuracy of codes at the highest level of specificity, ensuring compliance and accuracy before forwarding them to providers for review. This role primarily focuses on Medicare and Medicare Advantage claims. The position offers an ongoing opportunity with no predetermined end date, supporting high-volume audits using the Innovaccer platform.

Responsibilities:

• Auditing the claims and data pulled by the Innovaccer platform to verify accuracy
• Reviewing appropriate documentation to support coding decisions
• Making final determinations on the accuracy and specificity of codes before they are sent for provider review
• Managing a high volume of reviews daily, typically between 50 and 80 cases
• Utilizing platforms such as 3M coding tool, and electronic medical records including Epic, Athena and Cerner

Requirements:

• 1+ years of risk adjustment coding, HCC coding or outpatient diagnosis coding experience
• Active coding certification such as CPC, CRC, CPMA, CDEO, CCS, CCS-P, RHIA, RHIT or CCDS
• Experience with daily review volumes of 50 to 80 cases using Innovaccer
• Proficiency with 3M coding tool and electronic medical records like Epic, Athena and Cerner
• Ability to work remotely in a dedicated environment

Pay Range:
The anticipated pay for this position is $27.00 per hour. We understand salary is an important factor in a job search, and we encourage you to apply even if you feel that your desired compensation may fall outside of the listed range. The final pay for this position is determined based on several factors including but not limited to, relevant experience, skills and certifications, education and training, geographic location, market conditions, and internal equity. We are committed to finding the right candidate for this role and are open to discussing how your unique qualifications align with our needs.

Benefits:

• Medical insurance
• Dental insurance
• Vision insurance
• 401(k) retirement savings plan

Contact:
Karrie Ruch
kruch@jacobsongroup.com

Equal Opportunity Employer:
The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at HR@jacobsongroup.com or +1 (800) 466-1578 to make a request.

Refer a Colleague:
Do you know someone who would be interested in this project? Submit your referral directly by emailing Karrie Ruch kruch@jacobsongroup.com or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus!