California Licensed Coding Auditor

Location: Remote
Compensation: Salary
Reviewed: Wed, Apr 30, 2025
This job expires in: 10 days
ICD-10 Coding CPT Coding E/M Coding HCC Coding

Job Summary

A company is looking for a Coding Auditor & Educator.

Key Responsibilities
  • Assist with retrospective and concurrent coding for PACE Dual participants
  • Conduct pre-visit chart preparations and post-visit chart reviews
  • Oversee audits and participate in provider education programs to ensure compliance with CMS guidelines
Required Qualifications
  • Strong knowledge of ICD-10, CPT, and E/M coding standards
  • Associates Degree preferred; three years of relevant experience may substitute for a degree
  • Minimum of four years of related experience in coding and auditing
  • Minimum of two years of Risk Adjustment (HCC) coding experience in a managed care environment
  • Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential is required
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