HCC Risk Adjustment Auditor & CDI Specialist

CHRISTUS Health; Irving (TX); Hybrid; USD 75,000 - 105,000; Full time

Job summary

CHRISTUS Health is seeking a skilled HCC Coding Auditor to perform audits and abstractions using ICD-10-CM guidelines, ensuring compliance with CMS risk adjustment requirements. The role supports Commercial and Medicare Advantage risk adjustment programs in a hybrid work setting.

The position requires coding certifications within six months and a strong background in hospital coding, auditing, and documentation integrity.

Qualifications

• Excellent verbal and written communication skills.
• Ability to perform chart reviews and coding audits.
• Familiarity with ICD-10-CM and risk adjustment concepts.

Responsibilities

• Performs code abstraction and coding quality audits to ensure ICD-10-CM codes are supported by documentation.
• Conducts medical record reviews and audits within CDI workflows and risk adjustment programs.
• Identifies revenue opportunities while complying with state and federal regulations.
• Maintains current knowledge of coding guidelines and relevant regulations.
• Provides actionable feedback to improve documentation and coding accuracy.

Skills

Verbal communication

Written communication

Education

High School diploma

Job description

CHRISTUS Health is seeking a skilled HCC Coding Auditor to perform audits and abstractions using ICD-10-CM guidelines, ensuring compliance with CMS risk adjustment requirements. The role supports Commercial and Medicare Advantage risk adjustment programs in a hybrid work setting.

The position requires coding certifications within six months and a strong background in hospital coding, auditing, and documentation integrity.