HCC Coding Quality Auditor

Job Summary

A company is looking for an HCC Coding Quality Auditor.

Key Responsibilities

• Review the accuracy of HCC coded records and ensure compliance with Medicare and ICD-10-CM guidelines
• Support findings to help coders identify and learn from errors
• Maintain a quality score of 95% or higher and comply with all privacy and security regulations

Required Qualifications

• Certification through AAPC or AHIMA (CPC, CRC, CCS, or CCS-P)
• At least 3 years of HCC coding experience and 2 years of auditing experience
• Working knowledge of EMRs, billing systems, and abstraction platforms
• Proficiency in Microsoft Excel and Outlook
• Ability to work independently from a HIPAA compliant home office