Certified Coding Auditor

Job Summary

A company is looking for a Coding Auditor.

Key Responsibilities

• Validate and review Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews
• Ensure accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS
• Maintain audit accuracy and contribute to process improvements while ensuring compliance with regulations and internal policies

Required Qualifications

• High School Diploma or GED required
• Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC)
• Minimum of 3 years relevant coding/audit experience