HCC Coding & Quality Auditor Educator

Salud Healthcare

Fort Lauderdale (FL)

On-site

USD 150,000 - 190,000

Full time

5 days ago
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Job summary

Salud Healthcare is seeking a Sr. Manager of HCC Coding & Quality Auditor / Educator to lead audits and educate providers across coding, risk adjustment, and quality management.

You will collaborate with clinicians to translate findings into clear feedback, strengthening risk adjustment accuracy and quality performance. In this dual-focused role, you will oversee a team of 3–5 auditors, drive continuous improvement, and ensure compliance with CMS guidelines while advancing program outcomes in

Qualifications

  • 2–3+ years of experience auditing providers and delivering education.
  • Hands-on with HEDIS and/or Medicare STARS quality measures.
  • Strong ICD-10-CM coding knowledge and documentation requirements.
  • Excellent communication and ability to provide constructive feedback to providers.

Responsibilities

  • Lead HCC coding audits, identify documentation gaps, and guide risk adjustment.
  • Lead quality management audits aligned with HEDIS/STARS requirements and CMS guidelines.
  • Engage providers to deliver actionable feedback and drive improvements.
  • Educate clinical staff on documentation and coding best practices for accurate risk adjustment.
  • Track audit findings and education outcomes; report trends to leadership.
  • Manage and mentor a team of 3–5 auditors; set priorities and ensure audit quality.

Skills

Leadership
Provider Education
Communication

Education

Health Information Management

Tools

EHR Systems
Chart Abstraction

Job description

Salud Healthcare is seeking a Sr. Manager of HCC Coding & Quality Auditor / Educator to lead audits and educate providers across coding, risk adjustment, and quality management.

You will collaborate with clinicians to translate findings into clear feedback, strengthening risk adjustment accuracy and quality performance. In this dual-focused role, you will oversee a team of 3–5 auditors, drive continuous improvement, and ensure compliance with CMS guidelines while advancing program outcomes in

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