HCC Auditor with Certifications

Job Summary

Reviewing medical records for accurate coding, the full-time remote HCC Auditor with Certifications will ensure proper representation of patient conditions for risk adjustment and reimbursement, maintaining a high-quality standard in a fast-paced environment.

Key responsibilities

• Audit coded charts according to client guidelines while maintaining a 95% quality average at a diagnosis level
• Participate in weekly coding project review meetings and address rebuttals from coders or auditors
• Adapt to various client guidelines with minimal difficulty as directed by the quality supervisor

Required qualifications

• 2 years of HCC Coding and HCC Auditing experience
• Extensive knowledge of ICD-10
• AHIMA or AAPC certified credentials (e.g., RHIA, RHIT, CCS, CPC, CPC-H, COC, CIC, or CRC)
• High school diploma or GED equivalent required
• Strong knowledge of medical terminology, abbreviations, pharmacology, and disease processes