Hybrid HCC Coding Auditor: Risk Adjustment Expert

CHILDREN'S HOSPITAL OF SAN ANTONIO; Irving (TX); Hybrid; USD 70,000 - 90,000; Full time

Job summary

Children's Hospital of San Antonio seeks an HCC Coding Auditor to perform audits and abstractions using ICD-10-CM guidelines and AHA Coding Clinic guidance. The role supports Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and RADV programs in a hybrid-work setting.

The position emphasizes quality assurance, education on documentation practices, and regulatory compliance, ensuring accurate coding and recapture of chronic conditions while improving documentation.

Qualifications

• High School diploma or equivalent is required.
• Excellent verbal and written communication skills.
• Minimum 1 year of hospital inpatient/outpatient or risk adjustment coding experience OR 3+ years in related areas.

Responsibilities

• Meets the applicable OneCHRISTUS competencies and leads self or others.
• Performs medical record reviews and audits for risk adjustment coding adherence.
• Audits code abstraction to ensure ICD-10-CM codes are accurately assigned and supported by documentation.
• Performs coding quality audits across EMRs, databases, or vendor platforms.
• Identifies revenue, reimbursement, and provider education opportunities while complying with regulations.
• Provides auditing analyses and feedback on noncompliance issues.

Skills

Verbal communication

Written communication

Education

High School diploma or equivalent

Job description

Children's Hospital of San Antonio seeks an HCC Coding Auditor to perform audits and abstractions using ICD-10-CM guidelines and AHA Coding Clinic guidance. The role supports Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and RADV programs in a hybrid-work setting.

The position emphasizes quality assurance, education on documentation practices, and regulatory compliance, ensuring accurate coding and recapture of chronic conditions while improving documentation.