Certified Coding Auditor

Job Summary

Certified Coding Auditor, responsible for reviewing and verifying the accuracy of Medicare and Medicare Advantage claims data using a web-based AI tool in a temporary remote position.

Key Responsibilities

• Auditing claims and data for accuracy using the Innovaccer platform
• Reviewing documentation to support coding decisions and making final determinations on code accuracy
• Managing daily reviews of 50 to 80 cases and utilizing various coding tools and electronic medical records

Required Qualifications

• 1+ years of experience in risk adjustment coding, HCC coding, or outpatient diagnosis coding
• Active coding certification such as CPC, CRC, CPMA, CDEO, CCS, CCS-P, RHIA, RHIT, or CCDS
• Experience with high-volume daily reviews using Innovaccer
• Proficiency with 3M coding tool and electronic medical records like Epic, Athena, and Cerner
• Ability to work remotely in a dedicated environment