Certified Coding Auditor

Job Summary

A company is looking for an MRA Coding Auditor to support quality assurance audits and ensure accurate data submission to CMS.

Key Responsibilities

• Conducts quality assurance audits of internal Coding Analyst Team and vendors to maintain coding quality
• Tracks and reports progress of QA audits to verify coding accuracy for CMS submissions
• Analyzes audit results and collaborates with management for training and process improvements

Required Qualifications, Training, and Education

• Minimum three years of Medicare Risk Adjustment coding experience in a medical group or health plan setting
• High School Diploma or GED; completion of a Medical Coding training program required
• Technical school or courses required to become a certified coder
• Certified Coder (CCS, CCS-P, CPC, or CRC) required
• Bachelor's degree in Business Administration, Health Care Management, or related field preferred