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Remote Coding Auditor

Company: VirtualVocations
Location: Gary
Posted on: May 1, 2025

Job Description:

A company is looking for a Coding Auditor to provide quality assurance and coding audit services for risk adjustment purposes.
Key Responsibilities

Review patient records to ensure compliance with standards and support for diagnosis and procedure codes
Conduct audits on abstracted files for accuracy and completeness of coding, ensuring adherence to guidelines and regulations
Demonstrate understanding of hierarchical condition categories (HCCs) and participate in quality coding initiatives

Qualifications & Requirements

Associates degree and 3 years of relevant health plan or provider office medical coding experience
In lieu of a degree, 5 years of relevant experience is acceptable
Proficient knowledge of CMS-HCC model and guidelines
Previous experience in auditing medical records
Coding Certification required (CRC, RHIA, RHIT or similar) in good standing; ICD-10 proficient

Keywords: VirtualVocations, Hoffman Estates , Remote Coding Auditor, Accounting, Auditing , Gary, Illinois

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