Certified Coding Auditor

A company is looking for a Quality Assurance Coding Auditor - Remote. Key Responsibilities Assist with the execution of the daily activities of the Enterprise Quality Assurance program Perform first-level quality audits on vendor coding results and identify provider query opportunities Provide support on various coding initiatives, ensuring compliance with coding guidelines and recommending process improvements Required Qualifications Coding Certification (CPC, COC, CIC, CCS, CCS-P, or RHIT; CPC-A or CCA not acceptable) 4+ years of experience in ICD-10 coding, preferably in a Managed Care setting 2+ years of Medicare Risk Adjustment experience (HCC coding) Proficient knowledge of CMS-HCC model and guidelines ICD-10-CM proficiency

Feb 19, 2025 - 16:18

A company is looking for a Quality Assurance Coding Auditor - Remote. Key Responsibilities Assist with the execution of the daily activities of the Enterprise Quality Assurance program Perform first-level quality audits on vendor coding results and identify provider query opportunities Provide support on various coding initiatives, ensuring compliance with coding guidelines and recommending process improvements Required Qualifications Coding Certification (CPC, COC, CIC, CCS, CCS-P, or RHIT; CPC-A or CCA not acceptable) 4+ years of experience in ICD-10 coding, preferably in a Managed Care setting 2+ years of Medicare Risk Adjustment experience (HCC coding) Proficient knowledge of CMS-HCC model and guidelines ICD-10-CM proficiency