ZipRecruiter

Log In

2

Remote Ads Quality Rater Jobs in Irmo, SC (NOW HIRING)

CEI

Quality Medical Auditor

Columbia, SC · Remote

Coordinates rate adjustments with claims areas and provides monthly and quarterly reports outlining ... WILL HAVE POTENTIAL FOR REMOTE WORK, BUT PREFERS ONSITE * Can live anywhere in SC or bordering NC ...

DataAnnotation

QA Engineer - AI Trainer

Columbia, SC · Remote

$50 - $100/hr

Contribute to developing cutting-edge AI systems, while enjoying the flexibility of remote work and ... Projects are paid hourly starting at $50-100+/hr, with bonus rates available on some projects ...

BetterHelp

Psychiatrist - Remote

Columbia, SC · Remote

$119 - $242/hr

Provide empathetic, high-quality care and uphold UpLift's clinical and service standards. * Share ... rate, wage, or salary. These estimates are calculated using assumptions regarding number of ...

next page

Showing results 1-20

All JobsRemote Ads Quality Rater JobsRemote Ads Quality Rater Jobs in Irmo, SC

Remote Ads Quality Rater information

What are the key skills and qualifications needed to thrive as a Remote Ads Quality Rater, and why are they important?

To thrive as a Remote Ads Quality Rater, you need strong analytical skills, attention to detail, and proficiency in web research, usually supported by a high school diploma or higher education. Familiarity with online advertising platforms, search engines, and internal evaluation tools is typically required. Excellent time management, self-motivation, and effective written communication are crucial soft skills for remote work. These abilities ensure accurate ad evaluations, contribute to better user experiences, and support overall ad ecosystem quality.

What are Remote Ads Quality Raters?

Remote Ads Quality Raters are professionals who evaluate the relevance and quality of online advertisements, ensuring they meet specific guidelines and provide a good user experience. They typically work from home and assess ads based on set criteria, helping search engines and advertising platforms improve ad targeting and effectiveness. The role requires attention to detail, familiarity with internet culture, and the ability to follow detailed instructions. It is usually a part-time, flexible position suited for those seeking remote work opportunities.

What are some common challenges faced by Remote Ads Quality Raters, and how can they be managed?

Remote Ads Quality Raters often encounter challenges such as maintaining consistent focus during repetitive tasks, interpreting guidelines that may change frequently, and managing the isolation of remote work. To manage these, it's helpful to create a structured daily routine, stay updated on guideline revisions, and actively participate in online communities or team forums for support and clarification. Regular breaks can also help maintain accuracy and reduce fatigue during long rating sessions.
What are popular job titles related to Remote Ads Quality Rater jobs in Irmo, SC? For Remote Ads Quality Rater jobs in Irmo, SC, the most frequently searched job titles are:
What job categories do people searching Remote Ads Quality Rater jobs in Irmo, SC look for? The top searched job categories for Remote Ads Quality Rater jobs in Irmo, SC are:
Remote Ads Quality Rater jobs near you
Quality Medical Auditor

Quality Medical Auditor

CEI

Columbia, SC • Remote

Full-time

This job post has expired 1 day ago. Applications are no longer accepted.

Job description

Sr. Medical Review AuditorJob at a Glance

Title: Sr. Medical Review Auditor
Location: Columbia, SC
Contract: W2 only
Pay: $ 36/hour + optional medical, dental, vision, 401(k) match

Overview

Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business. Coordinates rate adjustments with claims areas and provides monthly and quarterly reports outlining trends, outcomes, and savings that directly impact medical costs and contracting rates.

Key Responsibilities
  • Performs validation reviews of Diagnosis Related Groups (DRG), Adaptive Predictive Coding (APC), and Never Events for all lines of business.
  • Coordinates rate adjustments with claims areas.
  • Provides monthly and quarterly reports outlining trends.
  • Serves as a resource in resolving coding issues.
  • Coordinates HIPAA and legal records requests for all areas of Healthcare Services and the Legal Department.
  • Determines methodology to identify cases for validation review.
  • Conducts validation reviews/coordinates rates adjustments with appropriate claims area.
  • Creates monthly/quarterly reports to present to each line of business providing information on records review, outcomes, trends, and savings that directly impact medical costs and contracting rates.
  • Manages records retrieval, release, HIPAA compliance, and all aspects of document management.
  • Serves as expert resource on methodology and procedures for medical records and coding issues.
Required Skills
  • Develops methodologies
  • Follows processes
  • Responds to Inquiries
  • Writes for Impact null
Required Education
  • Associate Degree - Nursing or Health Information Management
  • Graduate of an Accredited School of Nursing
Preferred Skills
  • WILL HAVE POTENTIAL FOR REMOTE WORK, BUT PREFERS ONSITE
  • Can live anywhere in SC or bordering NC as long as they are able to commute to the worksite location as needed.
  • If given remote option – BCBS will provide the equipment.
  • License/Certification required: a RHIT, RHIA, CIC, CPMA, or CPC should be the top search credentials (not RN or CCS).
  • Required Training: Registered Records Administrator or Technician, OR, active, unrestricted RN licensure from the US and in SC OR, active compact multistate unrestricted RN license as defined by the Nurse Licensure Compact (NLC), OR Certified Coder
  • Required Work Experience: 3 years medical record management to include coding and validation review experience.
  • FYI: DRG review = a review of a hospital stay to confirm the correct DRG (Diagnosis-Related Group) was assigned and billed.
  • What’s being reviewed Clinical documentation in the chart (diagnoses, procedures, complications/comorbidities, discharge summary) Coding (ICD-10 diagnosis/procedure codes) DRG assignment (the grouping produced from the codes) SOI/ROM (severity of illness / risk of mortality) when applicable Medical necessity and whether the documented facts support the level of care (often reviewed alongside DRG, depending on the program)
  • Why it’s done To ensure accurate reimbursement (DRG drives payment for many inpatient claims, e.g., Medicare IPPS) To catch undercoding (missing CC/MCC, missed procedures) or overcoding To support/defend against payer audits/denials (e.g., DRG validation audits) For compliance (reduce improper payments, improve documentation/coding accuracy)
  • Who typically performs it Inpatient coders CDI specialists (Clinical Documentation Integrity) DRG auditors (hospital side or payer/third-party) If
Why Should I Apply?

Join a team expanding DRG review capacity and contribute to accurate reimbursement, compliance, and defensible coding outcomes through validation reviews and expert record/coding methodology.

About CEI:

As a trusted technology partner, CEI delivers solutions that help our customers transform their business and achieve meaningful results. From strategy and custom application development through application management - our technology and digital experience services are tailored to meet each unique need of our customers. Our staffing solutions bring specialized skills to complement our customers' workforce and project requirements.

#ZR
#INDGEN