Coding Auditor

SAFETY

**internet speed test must be listed on resume**

fully remote - candidates must work following hours: Monday Friday, 8:00 AM 5:00 PM EST (Training hours same)

Rolling Start Dates:
7/14 - candidate must clear by 7/9
7/21 - candidate must clear by 7/16
7/28 - candidate must clear by 7/23

Job Title:
Coding Auditor

Job Description:
3 years of relevant coding/audit experience.
The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

Top 3 Skills:
1. Proficiency in ICD-10-CM coding with strong understanding of HCC risk adjustment
2. Attention to detail and accuracy in retrospective chart reviews
3. Familiarity with CMS coding guidelines and HIPAA-compliant data handling

Candidates must have experience working with Microsoft Office tools and industry-standard coding platforms. Prior experience in retrospective risk adjustment audits and validation is preferred. All audits must be performed in compliance with HIPAA privacy and security rules.

Position Summary:

The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies. 3 years of relevant coding/audit experience.

Duties:

The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

Experience:

Top 3 Skills:
1. Proficiency in ICD-10-CM coding with strong understanding of HCC risk adjustment
2. Attention to detail and accuracy in retrospective chart reviews
3. Familiarity with CMS coding guidelines and HIPAA-compliant data handling

Candidates must have experience working with Microsoft Office tools and industry-standard coding platforms. Prior experience in retrospective risk adjustment audits and validation is preferred. All audits must be performed in compliance with HIPAA privacy and security rules.

Education:

AA/AS degree or equivalent experience. Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC) with a minimum of 3 years of relevant coding/audit experience.