Coding Auditor

Job Summary

A company is looking for a Coding Auditor.

Key Responsibilities

• Validate and review Hierarchical Condition Category (HCC) risk-adjustable charts through retrospective chart reviews
• Ensure accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS
• Apply clinical documentation standards and industry guidelines to support coding decisions

Required Qualifications

• High School Diploma or equivalent; Associate's Degree preferred
• Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC) is preferred
• A minimum of 3 years of relevant coding/audit experience
• Proficiency in ICD-10-CM coding with a strong understanding of HCC risk adjustment
• Familiarity with CMS coding guidelines and HIPAA-compliant data handling