Prospective Coder Auditor

Must have Prospect coding experience on resume Job Description: This role supports an ongoing Medicare and Medicare Advantage risk adjustment initiative, focused on validating diagnosis codes to the highest level of specificity. The position involves high-volume chart review using the Innovaccer platform, with no defined end date and long-term project stability. Responsibilities: Audit information pulled by the Innovaccer tool and validate diagnosis codes for accuracy and specificity Review supporting medical documentation and make final determinations prior to provider review Perform high-volume reviews with expected daily productivity of 50–80 charts Focus exclusively on Medicare and Medicare Advantage (MA) populations Utilize coding and EMR systems including 3M, Epic, Athena, and Cerner Ensure coding accuracy and compliance with risk adjustment and outpatient coding guidelines Requirements: Minimum of 1 year of experience in risk adjustment coding, HCC coding, or outpatient diagnosis coding Ability to consistently meet daily production expectations of 50–80 reviews Active coding certification required (one of the following): CPC, CRC, CPMA, CDEO, CCS, CCS-P, RHIA, RHIT, or CCDS Strong attention to detail and documentation review skills Experience working with Medicare and/or Medicare Advantage data Key Skills: Pay Range: 27/hr Medical insurance Vision insurance 401(k) retirement savings plan Contact: View phone number on click.appcast.io View email address on click.appcast.io Refer a Colleague: Do you know someone who would be interested in this project? Submit your referral directly by emailing the Jacobson contact listed above or submitting them through this form. If your referral is hired for a contract assignment and meets all other eligibility criteria, you will receive a referral bonus! Equal Opportunity Employer: The Jacobson Group is committed to fostering an inclusive and equitable workplace that reflects the diverse communities we serve. We are an Equal Opportunity Employer and do not discriminate against any employee or applicant for employment because of race, color, religion, sex, sexual orientation, gender identity, national origin, age, disability, veteran status or any other protected characteristic as defined by applicable law. We believe that diversity of thought, background and experience strengthens our team and drives innovation. All employment decisions are based on qualifications, merit and business needs. If you require a reasonable accommodation to complete the application process or participate in an interview, please contact us at View email address on click.appcast.io or View phone number on click.appcast.io to make a request. #J-18808-Ljbffr The Jacobson Group