Certified HCC Quality Auditor
Job Summary
To support the accuracy of HCC coded records, the full-time Certified HCC Quality Auditor will review coding compliance with Medicare and ICD-10-CM guidelines while working remotely.
Key responsibilities:
- Review the accuracy of HCC coded records and ensure documentation supports the captured codes
- Provide clear feedback to coders to help them learn from errors and maintain a quality score of 95% or higher
- Assist in creating training materials, including PowerPoint presentations, and comply with all privacy and security regulations
Required qualifications:
- Certification through AAPC or AHIMA (CPC, CRC, CCS, or CCS-P) is mandatory
- At least 3 years of HCC coding experience and 2 years of auditing experience required
- Working knowledge of EMRs, billing systems, and abstraction platforms is essential
Complete Job Description
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