Remote Medicare Risk Adjustment Auditor | Certified Coder

Alignment Health; California City (CA); Remote; USD 90,000 - 130,000; Full time

Benefits offered by this job

Remote work

Job summary

Alignment Health is seeking a remote MRA Coding Auditor to support QA audits of internal Coding Analysts and vendors, ensuring 95% HCC accuracy in data submissions to CMS. You will partner with Risk Adjustment Management on data validation, chart reviews, and process improvements.

The role requires 3+ years in Medicare Risk Adjustment coding, CCS/CCS-P/CPC/CRC certification, and experience with Epic/Allscripts/EZCap. Strong communication and analytical skills are essential.

Qualifications

• 3+ years in Medicare Risk Adjustment coding.
• Experience validating data and coding accuracy for CMS submissions.
• Strong communication and analytical skills.

Responsibilities

• Audit internal Coding Analysts and vendor audits to ensure HCC accuracy.
• Partner with Risk Adjustment Management on data validation and process improvements.
• Perform data/chart reviews to support QA audits and improve coding quality.

Skills

Risk Adjustment coding

Data validation

Chart review

Education

CCS/CCS-P/CPC/CRC certification

Tools

Epic

Allscripts

EZCap

Job description

Alignment Health is seeking a remote MRA Coding Auditor to support QA audits of internal Coding Analysts and vendors, ensuring 95% HCC accuracy in data submissions to CMS. You will partner with Risk Adjustment Management on data validation, chart reviews, and process improvements.

The role requires 3+ years in Medicare Risk Adjustment coding, CCS/CCS-P/CPC/CRC certification, and experience with Epic/Allscripts/EZCap. Strong communication and analytical skills are essential.