Coding Auditor

Supporting quality assessment audits, the full-time Certified Medicare Coding Auditor will work remotely to ensure accurate data submission to CMS, assist in risk adjustment data audits, and analyze audit results for process improvement. Key responsibilities Conducts regular quality assurance audits of the internal Coding Analyst Team to validate coding accuracy and quality Tracks and reports progress of audits on coding vendors to ensure data accuracy for CMS submissions Collaborates with Risk Adjustment Management on data validation and coding audits to ensure completeness and accuracy of submissions Required qualifications Minimum three years of Medicare Risk Adjustment coding experience in a medical group or health plan setting High School Diploma or GED; completion of a Medical Coding training program Certified Coder (CCS, CCS-P, CPC, CRC, RHIT, or RHIA) required Proficient in MS Office Suite and previous use of electronic health record systems such as Epic or Allscripts Technical courses required for certification as a coder