HCC Coding Auditor & Educator | Compliance & Education Leader

WelbeHealth; United States; On-site; USD 70,000 - 90,000; Full time

Benefits offered by this job

Medical insurance coverage (Medical, D

PTO and holidays

401K match

Career advancement

Additional benefits

Job summary

WelbeHealth is seeking a Coding Auditor and Educator to ensure accurate coding supported by clinical documentation for PACE participants. You will educate teams on best practices and lead audits to promote compliance with CMS guidelines.

The role requires expertise in ICD-10, HCC coding, and MEAT concepts, with a background in managed care coding and strong MS Office skills. This full-time position emphasizes accuracy and ongoing education.

Qualifications

• Associates Degree preferred; three (3) years of relevant experience may be substituted in lieu of a degree.
• Minimum of four (4) years of related experience or a combination of healthcare-related education and experience in coding and auditing.
• Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment.
• Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential.
• Strong knowledge of ICD-10 coding standards.
• Experience in the correct application of M.E.A.T. concepts.

Responsibilities

• Assist with retrospective and concurrent coding for PACE (All-inclusive Care for the Elderly) Dual participants.
• Conduct pre-visit chart preparations and post-visit chart reviews.
• Oversee audits and participate in provider education programs to ensure compliance with CMS risk adjustments diagnosis coding guidelines.
• Work closely with Coding Supervisor in identifying opportunities for HCC coding education.

Skills

ICD-10 coding

HCC risk adjustment coding

MS Office

Education

Associates degree preferred

Tools

Microsoft Office

Job description

WelbeHealth is seeking a Coding Auditor and Educator to ensure accurate coding supported by clinical documentation for PACE participants. You will educate teams on best practices and lead audits to promote compliance with CMS guidelines.

The role requires expertise in ICD-10, HCC coding, and MEAT concepts, with a background in managed care coding and strong MS Office skills. This full-time position emphasizes accuracy and ongoing education.