Certified Coding Auditor

Job Summary

Providing coding quality auditing services, the remote Quality Assurance Auditor will ensure compliance with coding guidelines and maintain a minimum 96% coding accuracy rate while supporting various coding initiatives across Care Delivery.

Key responsibilities:

• Assist with the execution of the National Quality Assurance program's daily activities
• Perform first-level quality audits on vendor and Care Delivery coding teams' results
• Identify issues and trends in coding and documentation that affect coding accuracy and recommend process improvements

Required qualifications:

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