Quality Medical Auditor

TRC Talent Solutions

  • Columbia, SC
  • 30+ days ago
  • $36 Per Hour
  • Temporary
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Skills

  • Auditingunmatched
  • Code Reviewsunmatched
  • Communication Skillsunmatched
  • Computer Programmingunmatched
  • Consultingunmatched
  • Continuous Improvementunmatched
  • Cost Controlunmatched
  • Detail Orientedunmatched
  • Diagnosis-Related Group (DRG)unmatched
  • Documentationunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Healthcare Qualityunmatched
  • Maintain Complianceunmatched
  • Medical Codingunmatched
  • Medical Office Administrationunmatched
  • Medical Recordsunmatched
  • Organizational Skillsunmatched
  • Problem Solving Skillsunmatched
  • Quality Managementunmatched
  • Regulationsunmatched
  • Regulatory Complianceunmatched
  • Reimbursementunmatched
  • Risk Managementunmatched
  • Time Managementunmatched
  • Trend Analysisunmatched

Description

 

    Quality Medical Auditor

    Columbia, SC | Up to $36/hr | Contract-to-Hire

    Schedule: Monday–Friday, 8:00 AM – 4:30 PM
    Work Type: Onsite preferred (remote potential after training)

    Job Summary:
    We are seeking an experienced and detail-driven Quality Medical Auditor to support a high-volume DRG review initiative. This role is responsible for ensuring the accuracy and integrity of coded medical records, identifying discrepancies, and safeguarding appropriate reimbursement. The ideal candidate will leverage strong auditing and coding expertise to partner with internal teams, resolve complex issues, and drive compliance with regulatory and HIPAA standards. This position plays a critical role in improving documentation quality, reducing risk, and supporting overall revenue integrity.

    Perform DRG audits and validation reviewsIdentify errors and coordinate adjustments
    • Track trends and assist with reporting
    • Ensure HIPAA compliance

    Key Responsibilities

    • Conduct DRG audits and validation reviews to ensure coding accuracy

    • Identify discrepancies and coordinate necessary corrections

    • Analyze trends and support reporting initiatives

    • Collaborate with internal stakeholders to resolve coding issues

    • Ensure compliance with HIPAA and industry regulations

     
    Ideal Candidate: 
    • Has hands-on experience with DRG validation and auditing in a high-volume setting

    • Demonstrates strong knowledge of ICD-10-CM/PCS and reimbursement methodologies

    • Is highly detail-oriented with a proven ability to identify coding discrepancies and drive resolution

    • Communicates effectively with both clinical and non-clinical teams

    • Is proactive, organized, and comfortable managing multiple audits and deadlines simultaneously

    • Brings a continuous improvement mindset and contributes to process and cost-saving initiatives


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    Numbers & Facts

    LocationColumbia, SC
    Job TypeTemporary

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