HCC Coding Auditor

Job Summary

To support a HCC coding project, the full-time contract HCC Coding Auditor will perform quality assurance reviews of coded medical records, ensuring accuracy and compliance with client-specific coding guidelines while working remotely.

Key responsibilities

• Audit coded medical records according to client-specific guidelines and project requirements
• Perform quality assurance reviews on randomly selected charts and maintain a minimum 95% quality accuracy at the diagnosis level
• Transition between different client guidelines and projects while participating in weekly coding project review meetings

Required qualifications

• MUST HAVE previous Humana experience
• Minimum 5 years of medical coding experience
• Current AHIMA or AAPC coding credential (e.g., RHIA, RHIT, CCS, CPC, CPC-H, COC, CIC, CRC)
• Extensive knowledge of ICD-9 and ICD-10 coding
• Strong understanding of medical terminology and disease processes