Remote Senior Risk Adjustment Auditor (HCC/CRC)

Metaintro, Inc.; Morgan Hill (CA); À distance; USD 90 000 - 130 000; Plein temps

Résumé du poste

Metaintro, Inc. is seeking an experienced Risk Adjustment Auditor to review inpatient and outpatient medical records for HCC support in a remote-capable role.

The ideal candidate has 5+ years of risk adjustment auditing experience with a CMS RADV focus and CRC certification, plus advanced Excel skills to analyze complex data and ensure accuracy. You will perform chart reviews, coding accuracy reviews, and communicate with clients to ensure compliant and timely claim payments, requiring strong

Qualifications

• 5+ years in risk adjustment auditing with CMS/HHS RADV focus.
• Strong knowledge of ICD-10 guidelines.
• CRC certification is required.

Responsabilités

• Chart reviews for HCC support and eligibility.
• Coding accuracy reviews to ensure compliant payments.
• Client communications to ensure timely and accurate claim processing.

Connaissances

Risk adjustment auditing

CMS RADV knowledge

Advanced Excel

ICD-10 guidelines

Formation

CRC certification

Description du poste

Metaintro, Inc. is seeking an experienced Risk Adjustment Auditor to review inpatient and outpatient medical records for HCC support in a remote-capable role.

The ideal candidate has 5+ years of risk adjustment auditing experience with a CMS RADV focus and CRC certification, plus advanced Excel skills to analyze complex data and ensure accuracy. You will perform chart reviews, coding accuracy reviews, and communicate with clients to ensure compliant and timely claim payments, requiring strong