HCC Quality Auditor – TEMP

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

📋 Description

• Evaluate the precision of HCC-coded records, focusing specifically on records associated with HCCs and RxHCCs.

• Assist in addressing audit findings by utilizing Medicare, ICD-10-CM, and client-specific guidelines.

• Ensure that the codes captured are substantiated by record documentation and accurately coded.

• Clarify findings to enable coders to easily recognize and learn from mistakes.

• Act as a resource for members of the HCC coding team through extensive knowledge of project and coding guidelines.

• Adhere to Risk Adjustment Data Abstraction Rules.

• Support the development of PowerPoint presentations for training purposes.

• Safeguard confidential company information, including Personal Health Information.

• Ensure conduct is in alignment with AHIMA’s Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct.

• Follow all internal policies and procedures.

⛳️ Requirements

• Certification through AAPC or AHIMA is mandatory; acceptable credentials include CPC, CRC, CCS, or CCS-P.

• Apprenticeship designations are not permitted.

• Minimum of 3 years of experience in HCC coding.

• At least 2 years of experience in auditing.

• Proficient knowledge and experience with EMRs, billing systems, abstraction platforms, and related systems.

• Capability to maintain a quality score of 95% or above.

• Ability to sustain ongoing productivity based on project demands.

• Competence to work at a computer terminal for 6 to 8 hours daily.

• Capacity to sit for extended periods.

• Ability to lift and move materials weighing up to 20 lbs. occasionally.

• Regular, reliable, and punctual attendance is mandatory.

• Adherence to privacy, security, confidentiality, ethical coding, as well as company policies and procedures.

🏝️ Benefits

• Opportunities for professional development and personal growth.