Remote Certified Coding Auditor

Job Summary

A company is looking for a Remote Certified 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 and maintain compliance

Required Qualifications

• Clear and active CPC, CCS-P, CRC or similar certification
• 3+ years of experience in coding auditing
• Proficiency in ICD-10-CM coding with a strong understanding of HCC risk adjustment
• Familiarity with CMS coding guidelines and HIPAA-compliant data handling