Certified Medical Coding Auditor

Job Summary

A company is looking for a Medical Coding Auditor - Risk Adjustment.

Key Responsibilities

• Analyze medical claims data and documentation for accurate diagnostic risk capture
• Evaluate coding and documentation behavior, providing recommendations for improvement
• Conduct quality assurance reviews of coding to ensure accuracy and adherence to standards

Required Qualifications

• Bachelor's degree or four years of relevant work experience
• Three years of experience as a RHIA, RHIT, or CPC certified coder
• Current certification as a professional coder (RHIA, RHIT, or CPC)
• CRC certification or willingness to obtain it within the first year
• Additional certifications such as CCSP, CCS-H, CPC-P, and CPH-H are desirable