Remote Coding Auditor

Job Summary

A company is looking for a Coding Auditor to provide quality assurance and coding audit services for risk adjustment purposes.

Key Responsibilities

• Review patient records to ensure compliance with standards and support for diagnosis and procedure codes
• Conduct audits on abstracted files for accuracy and completeness of coding, ensuring adherence to guidelines and regulations
• Demonstrate understanding of hierarchical condition categories (HCCs) and participate in quality coding initiatives

Qualifications & Requirements

• Associates degree and 3 years of relevant health plan or provider office medical coding experience
• In lieu of a degree, 5 years of relevant experience is acceptable
• Proficient knowledge of CMS-HCC model and guidelines
• Previous experience in auditing medical records
• Coding Certification required (CRC, RHIA, RHIT or similar) in good standing; ICD-10 proficient