Title: Coding Auditor
Duration: 3+ Months
Job Description:
3 years of relevant coding/audit experience.
The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk-adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.
Top 3 Skills:
1. Proficiency in ICD-10-CM coding with a strong understanding of HCC risk adjustment
2. Attention to detail and accuracy in retrospective chart reviews
3. Familiarity with CMS coding guidelines and HIPAA-compliant data handling
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