Certified Coding Auditor

Job Summary

A company is looking for a Quality Assurance Auditor - Remote.

Key Responsibilities:

• Execute daily activities of the National Quality Assurance program, including performing quality audits on vendor and Care Delivery coding results
• Support various coding initiatives, such as concurrent review and retrospective coding quality reviews
• Identify issues in coding accuracy and provide feedback on audit results while recommending process improvements

Required Qualifications:

• Coding Certification required (CPC, COC, CIC, CCS, CCS-P, or RHIT; CPC-A or CCA not acceptable)
• 4+ years recent experience in ICD-10-CM coding, preferably in a Managed Care setting
• 2+ years recent Medicare Risk Adjustment experience (HCC coding) with knowledge of CMSHCC model and guidelines
• 1+ years recent experience in a coding auditor role, providing feedback and coaching
• Ability to work during normal business hours, Monday-Friday 8am-5pm CST