Clinical Auditor RN
Company: VirtualVocations
Location: Vista
Posted on: May 13, 2025
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Job Description:
A company is looking for an Auditor Clinical Validation
Outpatient Specialty Clinical.
Key Responsibilities
Conducts audits on outpatient and specialty claims using medical
chart coding principles and client-specific guidelines
Utilizes advanced audit tools and maintains productivity, accuracy,
and quality standards
Identifies new claim types and recommends process improvements
based on extensive healthcare auditing experience
Required Qualifications
Associate or bachelor's degree in nursing with an
active/unrestricted license
Coding certification required (e.g., CPC, CIC, CCS, CCS-P, RHIA, or
RHIT)
5 to 7 years of experience in clinical medical record coding or
auditing
Knowledge of HIPAA Privacy and Security Rules and CMS security
requirements
Expertise in coding guidelines, including DRG, ICD-10, CPT, and
HCPCS codes
Keywords: VirtualVocations, Rancho Cucamonga , Clinical Auditor RN, Accounting, Auditing , Vista, California
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