Coding Auditor

A company is looking for a 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 Required Qualifications High School Diploma or equivalent; Associate's Degree preferred Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC) is preferred A minimum of 3 years of relevant coding/audit experience Proficiency in ICD-10-CM coding with a strong understanding of HCC risk adjustment Familiarity with CMS coding guidelines and HIPAA-compliant data handling

Jun 18, 2025 - 00:10

A company is looking for a 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 Required Qualifications High School Diploma or equivalent; Associate's Degree preferred Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC) is preferred A minimum of 3 years of relevant coding/audit experience Proficiency in ICD-10-CM coding with a strong understanding of HCC risk adjustment Familiarity with CMS coding guidelines and HIPAA-compliant data handling