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Job Requirements of Coding Auditor:
-
Employment Type:
Contractor
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Location:
Rhode Island, US (Onsite)
Do you meet the requirements for this job?
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:
Required Qualifications:
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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