HCC Coding Auditor
The Judge Group, LLC
HCC Auditor (Humana Experience Required) – Contract (3–6 Months) We are seeking experienced HCC Auditors with Humana experience to support a HCC coding project. This contract assignment will run approximately 3–6 months with full‑time hours (minimum 40 hours per week). Role Overview The Auditor Specialist will perform quality assurance reviews on coded medical charts according to client‑specific guidelines. This role requires strong accuracy, adaptability, and the ability to work independently in a fast‑paced remote environment. Key Responsibilities Audit coded charts assigned by the Quality Supervisor following client‑specific guidelines Navigate multiple client guideline sets with minimal difficulty Maintain 95%+ accuracy at the diagnosis level Respond to rebuttals submitted by coders or auditors Participate in weekly project review meetings Complete additional tasks as assigned by the Quality Project Manager Required Qualifications Humana experience is required High school diploma or GED AHIMA credentials (RHIA, RHIT, CCS) or AAPC credentials (CPC, CPC‑H, COC, CIC, CRC) 5+ years of medical coding experience Strong knowledge of ICD‑9/10 and HCC coding Solid understanding of medical terminology, abbreviations, pharmacology, and disease processes Ability to maintain high quality in a fast‑paced production environment Strong written and verbal communication skills Ability to work independently and meet deadlines Comfortable working on multiple client projects Proficient with computer systems and secure data processing
- ...ourselves on stability and long-term success. Responsibilities Perform coding quality audits and reviews on a variety of facility outpatient... ...facility outpatient audits. Experience in ICD-10-CM, CPT, HCC, and procedural/surgical coding. Experience with trauma activation...SuggestedReliefRemote workWork from homeHome office
- ...stability we’ve built and the long‑term success of our dedicated team. We are currently seeking an experienced facility inpatient Coding Auditor to join our team on a full‑time basis. The Coding Auditor will perform inpatient coding audits and review services to client...SuggestedFull timeFor contractorsRemote workWork from homeHome officeFlexible hours
$65k - $85k
...competitive salaries, highly valued health insurance, a 401(k) plan with employer match, paid parental leave, and more. The Outpatient Coding Auditor’s responsibility is to review medical records, clinical documentation, and claims to ensure accurate ICD-10, CPT, and HCPCs...SuggestedWork at office- ...PRN Inpatient Auditor – DRG Validation We are seeking a PRN Inpatient Auditor to support DRG validation and inpatient coding audits . The role focuses on reviewing inpatient medical records to ensure accurate ICD-10-CM/PCS coding, MS-DRG assignment . Responsibilities...SuggestedRelief
- ...A health insurance company is seeking a Senior Specialist, Coding Auditor to join their Payment Integrity team. This remote position involves supporting issue resolution, ensuring claims repayment quality, and assisting in root cause analysis. Candidates should have 1...SuggestedRemote work
$46.1 - $53.1 per hour
...Overview The Sr. Auditor, Quality Assurance position is responsible for ensuring that the audited claims meet quality standards necessary... ...necessity, appropriateness of setting, potential billing/coding issues, and quality concerns. May serve as a mentor to other QA...Hourly payWork at officeImmediate startFlexible hours$70k - $80k
...Diagnosis Related Group (DRG) Auditor III Join to apply for the Diagnosis Related Group (DRG) Auditor III role at EXL Health Diagnosis... ...is it! What You’ll Do: Conduct comprehensive MS-DRG and APR-DRG coding reviews to ensure accuracy in DRG assignment and reimbursement....Full timeWork experience placementReliefRemote workWork from homeHome officeRelocation package$60k - $80k
...TalentLNX LLC is seeking a Coding and Billing Auditor to support provider-side revenue cycle operations in a fully remote environment. This role requires reviewing medical records and validating coding accuracy. The ideal candidate should have a minimum of 5 years of...Remote work- ...Integrated Management Strategies is seeking an experienced Medical Coding Auditor to join their healthcare consulting practice. This fully remote position involves maintaining contract coder documents, conducting audits, and providing coding guidance. Candidates must...Contract workRemote work
- ...A healthcare consulting firm is seeking a professional for a coding role focused on Medicare and Medicare Advantage initiatives. Responsibilities include validating diagnosis codes, auditing information, and performing high-volume chart reviews with specific productivity...Hourly pay
$90k - $115k
...as a DRG Reviewer, be a key contributor responsible for conducting thorough DRG payment validation reviews, including clinical and coding assessments, of medical records and related documentation in accordance with contract‑specific review criteria. This position requires...Contract workWork experience placementRemote workFlexible hours$95k - $120k
...Audit Team, under the direction of the Audit Manager, the Senior Auditor is responsible for conducting risk-focused audits; advising... ...attribute-based assessment and other skills tests (such as simulation, coding, MS Office). Our goal for the application process is to get to...Temporary workRemote work2 days per week$100k - $102.5k
...are a leading authority in payment integrity solutions. The Outpatient Payment Integrity Coder Auditor is responsible for reviewing outpatient medical claims to ensure coding accuracy, compliance, and appropriate payment in accordance with CMS and payer-specific guidelines...- ...healthcare integrity solutions provider is looking for an Outpatient Payment Integrity Coder Auditor in New York City. In this role, you will audit outpatient medical claims for coding accuracy and compliance with CMS guidelines. The ideal candidate must have advanced...Remote work
$65k - $85k
...Trend Health Partners is looking for an Outpatient Coding Auditor to ensure accurate coding compliant with CMS guidelines. The position offers a salary range of $65,000 to $85,000 and includes a competitive benefits package. Responsibilities include reviewing medical...- ...Datavant is seeking a Professional Auditing Specialist to perform coding audits and ensure compliance in healthcare. This fully remote position requires over 5 years of coding experience, strong organizational skills, and CPC certification. The role involves educating...Remote work
$68k - $88k
...Medical Review Auditor (Fraud Waste and Abuse) Join to apply for the Medical Review Auditor (Fraud Waste and Abuse) role at Cotiviti... ...be auditing medical records to evaluate the accuracy of medical coding and health plan policies for our Fraud, Waste & Abuse clients....Hourly payFull timeContract workPart timeWork experience placementImmediate startRemote workWork from home- ...Inpatient Medical Coding Auditor – PPI Coding Disputes Reports to the manager and reviews DRG, ICD-10-CM, and PCS coding assignments for accuracy within the coding disputes team. The auditor consults and collaborates with coding professionals across departments to ensure...Bi-weekly payWork at officeRemote workWork from homeHome officeMonday to Friday
- ...Datavant is looking for a full-time Inpatient Auditing Specialist to conduct coding audits and improve documentation across healthcare facilities. The role requires 3+ years of coding experience and CCS certification is preferred. The position is fully remote with flexible...Full timeRemote workFlexible hours
- ...Compliance Auditor The Compliance Auditor will foster an environment that enhances and promotes compliance and adherence to all relevant... ...industry's rules, guidelines, and regulations. Billing and Coding experience, preferred. Strong attention to detail,...Local area
$85k - $120.75k
...Job Description: J ob Title: Auditor - Technology Applications Corporate Title: Associate Location: Cary, NC OR New York... ...in this role Interest in emerging technologies relating to coding, data analytics, cloud, infrastructure, or artificial intelligence...ApprenticeshipWork experience placementWork at officeLocal areaWork from home$65k - $85k
...Medical Billing Auditor Brooklyn, NY / Monsey $65,000 - $85,000 per year (depending on experience, certifications, and performance... ...The ideal candidate will audit and review medical billing and coding practices, ensure compliance with payer and regulatory requirements...Local area- ...medical records for select payer populations post-discharge and pre-bill; audit the accuracy and completeness of diagnosis and procedure coding, DRG assignment, and abstracted data POA, Discharge Disposition. Review discrepancies between the Clinical Documentation...
- A community health center is seeking a Coding Auditor responsible for ensuring compliance with coding guidelines. This role requires collaboration across departments and a focus on accurate coding for appropriate reimbursement. Candidates must have a high school diploma...
$26.13 - $33.97 per hour
...Baptist Health South Florida is hiring for the position of E&M Coding Auditor/Educator. Responsibilities include conducting audits for coding/billing integrity, developing and executing educational programs for providers, and leading educational events. Applicants should...Hourly pay- ...Molina Healthcare, Inc. is seeking a full-time remote CPC Certified Coding Analyst to provide support for the investigation and resolution of provider appeals. In this role, you will review coding-related claims denials, conduct audits for billing accuracy, and communicate...Full timeWork at officeRemote work
- ...e4health seeks an Inpatient Auditor responsible for quality assurance reviews on inpatient coders, ensuring accurate data abstraction... ...quality issues to management. Candidates must have an approved AHIMA coding credential and significant experience in inpatient coding. This...Remote work
- ...A healthcare consulting firm in the United States is seeking an experienced facility inpatient Coding Auditor to conduct remote audits and provide review services. The ideal candidate will have RHIA, RHIT, or CCS certification, along with 2-5 years of experience in inpatient...Remote workFlexible hours
$70k - $90k
...EXL Health is looking for a Remote Certified Outpatient Facility Auditor. This position requires expertise in APC reimbursement... ...outpatient claims. You will analyze UB-04 claims ensuring accurate coding and compliance with outpatient regulatory guidelines. The role...Remote work$55.1k - $99k
...learn more. Base pay range $55,100.00/yr - $99,000.00/yr Direct message the job poster from TalentPlug LLC Job Title Clinical Coding Auditor & Trainer Job Location Remote (Candidates must be residents of New York) Summary The Clinical Coding Auditor & Trainer position...Full timeRemote work
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