Coding Auditor

Job Summary

A company is looking for a Coding Auditor who will be responsible for reviewing health risk evaluations, ensuring compliance with CMS guidelines, and auditing coding work output.

Key Responsibilities:

• Review health risk evaluations for completion and compliance with CMS guidelines
• Assess the accuracy and appropriateness of diagnosis codes in health risk evaluations
• Audit Coding Specialists' coding work output

Required Qualifications:

• Minimum 4 years of coding audit experience
• Minimum 6 years of ICD-10 coding experience
• Experience and knowledge of Medicare HCC coding
• Prior medical chart auditing/quality experience required
• Advanced knowledge of medical terminology, anatomy and physiology, disease processes, and pharmacology