Coding Auditor(Risk Adjustment) - Remote to USA

If you are interested in below direct client REMOTE position, please send your resume.

Job Title: Risk Adjustment Coding Auditor 

Location: Fully Remote

Duration : Contract to Hire

Required skills and experiences

• 7+ years of related professional experience. All relevant experience including work, education, transferable skills, and military experience will be considered.
• 5+ years of HCC coding experience in utilizing inpatient and outpatient coding guidelines
• 5+ years of experience auditing Risk Adjustment records
• 1+ years working in a Production environment
• CRC (Certified Risk Coder) in good standing, in addition to required coding certification or ability to obtain certification within the first 6 months of hire, upon possible conversion
• Intermediate level of knowledge in risk adjustment Medicare, ACA Commercial and Medicaid models
• High school diploma (or equivalency) and legal authorization to work in the U.S.

Preferred skills and experiences

• Bachelor’s degree
• HEDIS/STARS experience
• Provider education experience
• Prior RADV experience
• CPMA or other coding credentials