HCC Coding Quality Specialist, Auditor
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Job Description
HCC Coding Quality Specialist responsible for accuracy of HCC coded records. Supporting findings using Medicare and ICD-10 guidelines for coding compliance.
Responsibilities:
- HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of HCC coded records.
- Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as client specific requirements.
- Ensure that the codes captured are supported by the documentation within the record and are properly coded.
- Support your findings so the coder can easily identify and learn from the error.
- Assist with the creation of PowerPoints presentations for training purposes.
- Will be required to maintain a quality score of 95% or higher.
- Will be required to maintain an ongoing productivity level based on project requirements.
Requirements:
- All auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.)
- Acceptable credentials would be CPC, CRC, CCS, or CCS-P.
- Must have at least 3 years of HCC coding experience with 2 years of auditing experience.
- Global experience preferred.
- Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.
Benefits:
- Remote Work from home (within the U.S. ONLY).
- You need a HIPAA compliant home office, high-speed secure internet connection, equipment will be provided.
- Flexible scheduling after training, quality and productivity goals are met.
- Accrued PTO
- Paid Holidays
- Medical/Dental/Vision Insurance
- 401k
- CEUs and more!
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