Remote MRA Coding Auditor - Certified Risk Adjustment Coder

Alignment Health; Northern (KY); Remote; USD 64,000 - 97,000; Full time

Job summary

Alignment Health is seeking a remote MRA Coding Auditor to support QA audits of internal Coding Analyst teams and vendors. You will help ensure 95%+ HCC accuracy, perform data validations for CMS submissions, and work with Risk Adjustment Management to improve data integrity and coding processes.

The role requires Medicare RISK Adjustment coding experience, solid proficiency in MS Office, and familiarity with Epic, Allscripts, and EZCap.

Qualifications

• Minimum three years of Medicare Risk Adjustment coding in a medical group or health plan setting.

Responsibilities

• Support QA audits of internal Coding Analyst Team to validate 95%+ HCC accuracy.
• Track and report progress of QA audits for coding vendors and CMS submissions.
• Collaborate with Risk Adjustment Management on data validation and coding accuracy for CMS submissions.
• Analyze audit results and share with Manager for training and process improvement.
• Maintain HIPAA compliance and stay current with industry coding and HCC issues.

Skills

Medicare Risk Adjustment coding

MS Office

Epic

Allscripts

EZCap

Communication

Leadership

Analytical thinking

Education

High School Diploma or GED

Medical Coding training program

Bachelor’s degree in Business Administration/Health Care Management (preferred)

Tools

Epic

Allscripts

EZCap

Job description

Alignment Health is seeking a remote MRA Coding Auditor to support QA audits of internal Coding Analyst teams and vendors. You will help ensure 95%+ HCC accuracy, perform data validations for CMS submissions, and work with Risk Adjustment Management to improve data integrity and coding processes.

The role requires Medicare RISK Adjustment coding experience, solid proficiency in MS Office, and familiarity with Epic, Allscripts, and EZCap.