Auditor, HCC Risk Adjustment Coding

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work.

• →Audit coded charts assigned by quality supervisor per the client guidelines
• →Ability to move from different sets of client guidelines with minimal difficulty
• →Maintain a 95% quality average at a diagnosis level
• →Answer rebuttals entered on the auditor by coders and or auditors
• →Participate in weekly coding project review meetings
• →Any other tasks asked by quality supervisor

• 2 years' HCC Coding experience
• 2 years' HCC Auditing experience
• Extensive knowledge of ICD -10
• High school diploma or GED equivalent required
• AHIMA certified credentials (RHIA, RHIT, CCS) or AAPC certified credentials (CPC, CPC-H, COC, CIC or CRC)
• A strong knowledge base of medical terminology, medical abbreviations, pharmacology, and disease processes
• Ability to work in a fast-paced production environment while maintaining high quality
• Must be able to follow instructions, meet deadlines and work independently
• Ability to be flexible in work environment
• Excellent written and verbal communication skills, ability to work in a remote environment and time management skills
• Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and security of the data