Hornet Staffing, Inc, a GEE Group company
Auditor, Quality Medical
Hornet Staffing, Inc, a GEE Group company, Columbia, South Carolina, us, 29228
Greetings!
Hope you're doing well. We are excited to announce an opening for an
Auditor, Quality Medical
to join our team
onsite in Columbia, SC . If you have strong expertise in
DRG/APC validation, medical record auditing, and HIPAA compliance , this is an excellent opportunity to advance your career in a high-impact healthcare role.
About the Role: The Auditor, Quality Medical plays a key role in
ensuring accuracy in medical coding, reducing medical costs, and improving documentation integrity . This position involves reviewing complex medical records,
validating DRG/APC outcomes , analyzing trends, and supporting legal/HIPAA compliance activities.
Key Responsibilities ✔ 75% – Validation & Reporting Perform validation reviews for
DRG, APC, and Never Events
across all lines of business Identify methodology for case selection and coordinate rate adjustments with claims teams Prepare
monthly & quarterly trend reports
outlining outcomes, savings, and coding accuracy insights ✔ 15% – Records Management & HIPAA Manage records retrieval, release, and document control Ensure full compliance with
HIPAA regulations ✔ 10% – Subject Matter Expertise Serve as a resource for
coding methodology, medical record processes, and documentation issues
What We’re Looking For Experience in
medical record management ,
coding , and
validation review Strong understanding of
DRG/APC guidelines , coding accuracy, and healthcare documentation Ability to analyze large volumes of clinical data and identify trends Knowledge of HIPAA, compliance standards, and claims processes Excellent communication and organizational skills
Auditor, Quality Medical
to join our team
onsite in Columbia, SC . If you have strong expertise in
DRG/APC validation, medical record auditing, and HIPAA compliance , this is an excellent opportunity to advance your career in a high-impact healthcare role.
About the Role: The Auditor, Quality Medical plays a key role in
ensuring accuracy in medical coding, reducing medical costs, and improving documentation integrity . This position involves reviewing complex medical records,
validating DRG/APC outcomes , analyzing trends, and supporting legal/HIPAA compliance activities.
Key Responsibilities ✔ 75% – Validation & Reporting Perform validation reviews for
DRG, APC, and Never Events
across all lines of business Identify methodology for case selection and coordinate rate adjustments with claims teams Prepare
monthly & quarterly trend reports
outlining outcomes, savings, and coding accuracy insights ✔ 15% – Records Management & HIPAA Manage records retrieval, release, and document control Ensure full compliance with
HIPAA regulations ✔ 10% – Subject Matter Expertise Serve as a resource for
coding methodology, medical record processes, and documentation issues
What We’re Looking For Experience in
medical record management ,
coding , and
validation review Strong understanding of
DRG/APC guidelines , coding accuracy, and healthcare documentation Ability to analyze large volumes of clinical data and identify trends Knowledge of HIPAA, compliance standards, and claims processes Excellent communication and organizational skills