Auditor, HCC Risk Adjustment Coding

This is a fully remote position, open to applicants in United States.

📋 Description

• Review medical records that have been coded in a standardized system to guarantee an accurate representation of patient conditions for risk adjustment and reimbursement.

• Conduct audits on coded charts assigned by the quality supervisor in accordance with client guidelines.

• Navigate various sets of client guidelines with ease.

• Maintain a 95% quality average at the diagnosis level.

• Address rebuttals submitted by coders and/or auditors.

• Contribute to weekly coding project review meetings.

• Execute additional tasks as requested by the quality supervisor.

⛳️ Requirements

• Minimum of 2 years' experience in HCC Coding.

• At least 2 years' experience in HCC Auditing.

• In-depth knowledge of ICD-10.

• High school diploma or GED equivalent is mandatory.

• Possession of AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC, or CRC).

• Strong understanding of medical terminology, medical abbreviations, pharmacology, and disease processes.

• Capability to work in a fast-paced production environment while upholding high quality standards.

• Must be able to adhere to instructions, meet deadlines, and work autonomously.

• Flexibility in the work environment is essential.

• Excellent written and verbal communication skills are required.

• Ability to work effectively in a remote setting along with strong time management skills.

• Proficiency in the business use of computer hardware and software to ensure effective processing and data security.

• Must be eligible to work in the United States.

• Position is not eligible for employment sponsorship.

🏝️ Benefits

• Comprehensive health, dental, and vision insurance.

• Paid time off (PTO) plan.

• Retirement savings plan.

• Flexible work arrangements.

• Opportunities for career growth and development.

• Employee wellness programs.