California Licensed Coding Auditor

A company is looking for a Coding Auditor & Educator. Key Responsibilities Assist with retrospective and concurrent coding for PACE Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate in provider education programs to ensure compliance with CMS guidelines Required Qualifications Strong knowledge of ICD-10, CPT, and E/M coding standards Associates Degree preferred; three years of relevant experience may substitute for a degree Minimum of four years of related experience in coding and auditing Minimum of two years of Risk Adjustment (HCC) coding experience in a managed care environment Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential is required

Apr 30, 2025 - 21:06
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California Licensed Coding Auditor
A company is looking for a Coding Auditor & Educator. Key Responsibilities Assist with retrospective and concurrent coding for PACE Dual participants Conduct pre-visit chart preparations and post-visit chart reviews Oversee audits and participate in provider education programs to ensure compliance with CMS guidelines Required Qualifications Strong knowledge of ICD-10, CPT, and E/M coding standards Associates Degree preferred; three years of relevant experience may substitute for a degree Minimum of four years of related experience in coding and auditing Minimum of two years of Risk Adjustment (HCC) coding experience in a managed care environment Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential is required