Remote Coding Auditor
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
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
