HCC Coder / Coding Quality Auditor

ICONMA; United States; Remote; USD 60,000 - 90,000; Full time

Job summary

A Retail Pharmacy company in the United States is seeking a remote Coding Auditor. The role involves validating HCC risk adjustable charts and ensuring compliance with ICD-10 coding standards. Candidates should have a strong background in coding, attention to detail, and relevant certifications.

Benefits

Health Benefits

Referral Program

Excellent growth and advancement opportunities

Qualifications

• Minimum of 3 years of relevant coding/audit experience required.
• Prior experience in retrospective risk adjustment audits preferred.

Responsibilities

• Validate and review HCC risk adjustable charts through retrospective chart reviews.
• Ensure accurate, complete, and compliant ICD-10 coding for risk adjustment submission.

Skills

ICD-10-CM coding

Attention to detail

CMS coding guidelines

HIPAA-compliant data handling

Education

AA/AS degree or equivalent experience

Completion of AAPC or AHIMA coding program

Tools

Microsoft Office tools

Job description

Our Client, a Retail Pharmacy company, is looking for a Coding Auditor for their Remote location.

Responsibilities:

• The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews.
• The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission

Requirements:

• Proficiency in ICD-10-CM coding with strong understanding of HCC risk adjustment
• Attention to detail and accuracy in retrospective chart reviews
• Familiarity with CMS coding guidelines and HIPAA-compliant data handling
• Experience working with Microsoft Office tools and industry-standard coding platforms.
• Prior experience in retrospective risk adjustment audits and validation is preferred.
• All audits must be performed in compliance with HIPAA privacy and security rules.
• AA/AS degree or equivalent experience.
• Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC) with a minimum of 3 years of relevant coding/audit experience

Why Should You Apply?

• Health Benefits
• Referral Program
• Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

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