• The HSCRC Coding Reviewer will be a subject matter expert in clinical documentation review, clinical data abstraction, clinical coding, auditing, and variables impacting HSCRC payment methodologies that are based in medical record documentation. • Performs compliance audits employing specified protocols and criteria; conducts data abstraction and collection activities; interprets and applies coverage and payment policies, edits, and certification and regulatory requirements for medical necessity and other audit decisions; classifies findings and provides commentary for clinical data, qualitative, and statistical analyses; records rationale for and basis of audit findings using proper grammar and communication methods; writes reports in accordance with company requirements. • Provides feedback to hospitals concerning audit findings and discusses rationales for audit decisions. • Performing audit functions for the HSCRC Inpatient/Outpatient Data Abstract Review Contract in a timely and accurate manner. • Generating well-written deliverables and audit work papers. Outstanding verbal communication skills. Outstanding communications and interactions with hospital and client personnel.

• Reviews appraisals and reports including desktop valuations from a wide variety of bank channels • Reviewer Appraiser positions review all types of residential appraisal reports, including complex and small income properties located throughout the country • Valuations are reviewed for accuracy, consistency and to ensure they are USPAP compliant, well supported and credible • Analyzes quality and statistical data for the assigned property under review • Develops a summary of collateral and communicate to the customer for the lending decision

• Primary review of all premium audits - primarily General Liability (Workers Compensation, General Liability, Garage, Auto Liability, etc) • Audits methods include: Physical, Remote Physical, Virtual, Phone, Mail • Independently determines if each audit adequately addresses the Afirm QC Requirements, state-specific requirements, and client-specific requirements • Validate time charges with audit detail and/or explanations • Manage inventory of audits to review • Work to develop auditor quality by providing technical help and clear information through direct communication with the auditors during the review process, or as otherwise requested by the Davies QC Department management • Meet production requirements and expectations as provided • Perform other duties as assigned

• Review and edit AI critique of writing samples using professional criteria • Articulate evaluation methods for writing quality in your domain • Participate in live workshops to explain edits