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Coding Auditor

Careers Integrated Resources Inc Rhode Island, US (Onsite) Contractor
Job Title: Coding Auditor
Location: Fully Remote
Job Duration: 6+ Months

Shift: Monday–Friday, 8:00 AM–5:00 PM EST (Training hours same)

Pay rate: $24.97/hr. on W2


Key Responsibilities:
  • 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.

Required Qualifications:
  • Proficiency in ICD-10-CM coding with strong understanding of HCC risk adjustment
  • Attention to detail and accuracy in retrospective chart reviews
  • 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.
  • 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.
  • 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.
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Job Snapshot

Employee Type

Contractor

Location

Rhode Island, US (Onsite)

Job Type

Accounting

Experience

Not Specified

Date Posted

06/25/2025

Job ID

25-49882

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