e4health

IVR OP Auditor – PB/HB

e4health
Posted 10/20/2026part-timeRemote • United StatesMid-LevelSeniorWebsite
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Core Competencies

Role fit
Core Competencies

Use this summary to align your resume positioning with the role.

Demonstrates expertise in coding and auditing with a focus on maintaining high accuracy rates and compliance with HIPAA regulations. Proficient in providing training and support to coding consultants while effectively communicating quality issues and trends.

Highest-signal resume keywords
AHIMA Coding CredentialAAPC Coding CredentialICD-10-CM KnowledgeQuality Assurance ReviewsAuditing Experience

About the role

Key responsibilities & impact
  • Complete regularly scheduled quality assurance reviews for clients
  • Complete onboarding quality assurance reviews for newly hired consultants
  • Provide training for newly hired coding consultants as needed
  • Communicate quality issues to management
  • Assist with drafting, implementing, and monitoring quality improvement action plans
  • Maintain reports and accuracy rates for coding consultants and clients
  • Respond to client QA needs at management’s direction
  • Provide educational sessions on coding error trends
  • Notify management of compliance concerns or incidents
  • Handle patient information appropriately under HIPAA privacy and security requirements
  • Maintain confidentiality and discretion with patient information
  • Attend educational conference calls
  • Provide coding support to the business as needed
  • Perform other project duties as needed
  • Maintain required productivity and quality requirements
  • Maintain coding credential requirements
  • Validate accurate data abstraction into client electronic medical record systems according to ICD-10-CM, CPT, HCPCS, AMA CPT, and CMS guidelines
  • Report quality results and track and trend educational opportunities
  • Provide educational support and training to coders and providers
  • Maintain a coding auditing accuracy rate of 95% or better while meeting productivity standards

Requirements

What you’ll need
  • Approved AHIMA or AAPC coding credential required
  • CIRCC/RCCIR is a plus
  • Minimum 4 years’ coding experience
  • Minimum 4 years’ auditing experience
  • Experience with both professional fee (PB) and facility (HB) IVR auditing required
  • At least 2 years of remote experience recommended
  • Knowledge of HIPAA Privacy and Security Regulations
  • Ability to maintain coding credential requirements
  • Strong collaboration skills
  • Strong analytic and problem-solving abilities
  • Initiative and drive for results and success
  • Commitment to a team environment
  • Well-developed written, verbal, and presentation communication skills
  • Deep listening and attention to detail
  • Ability to self-motivate and self-direct
  • Strong time management and organizational skills
  • Commitment and adherence to company Core Values
  • Applicants for U.S. based positions must be legally authorized to work in the United States
  • Visa sponsorship is not available

Benefits

Comp & perks
  • 401(k) with company match
  • Medical insurance
  • Dental insurance
  • Vision insurance
  • Life insurance
  • Short-term disability insurance
  • Long-term disability insurance
  • PTO policy
  • Remote work from a home office environment

ATS Keywords

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Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard Skills
Coding ExperienceAuditing ExperienceData AbstractionQuality Improvement Action PlansCoding SupportCoding Auditing AccuracyCompliance MonitoringElectronic Medical Record SystemsCPT KnowledgeHCPCS Knowledge
Soft Skills
Collaboration SkillsAnalytic AbilitiesProblem-Solving AbilitiesTime Management SkillsCommunication Skills
Certifications & Qualifications
AHIMA Coding CredentialAAPC Coding CredentialCIRCCRCCIR
Industry Keywords
HIPAA RegulationsQuality AssuranceRemote ExperiencePatient Information ConfidentialityEducational Support