Coding Auditor at The Judge Group Inc. in New York, New York

Job Description:

Location: REMOTE

Salary: $33.00 USD Hourly - $34.00 USD Hourly

Description: Our client is currently seeking a REMOTE Coding Auditor!



Can sit anywhere in the US, must be able to work CST business hours



Equipment will be provided, Mon-Fri business hours



This position is responsible for providing quality assurance and coding audit services for risk adjustment purposes, supporting ACA Commercial, Medicare and Medicaid programs.


This job will have the following responsibilities:

• Reviews patient records in accordance to current compliance policies to analyze provider documentation to ensure that it meets standards and supports the diagnosis and procedure codes selected, including supporting medical necessity severity of illness and risk of mortality


• Conduct audits on abstracted files to ensure accuracy and completeness of coding by identifying accurate coding opportunities and rechecking all diagnoses and procedures using ICD-CM (ICD-9 and ICD-10) and CPT-4 codes to ensure adherence to all official coding guidelines, federal and state regulations, health system and departmental policies and productivity standards.


• Demonstrates an understanding of hierarchical condition categories (HCCs) and participates in quality coding initiatives as appropriate or assigned.

Qualifications & Requirements:

• Associates degree and 3 yrs relevant health plan or provider office medical coding.


• In lieu of degree, 5 yrs relevant experience.


• 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

Thank you for your time, we look forward to working with you!


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Contact: croche01@judge.com


This job and many more are available through The Judge Group. Find us on the web at www.judge.com Apply Now