Remote Senior Risk Adjustment Coding Auditor

TEKsystems

Minneapolis (MN)

Remote

USD 44,000 - 51,000

Full time

20 hours ago
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Benefits offered by this job

Medical, dental & vision
401(k) Plan
Life Insurance
Short and long-term disability
HSA
PTO / Vacation
Employee Assistance Program

Job summary

TEKsystems is seeking an experienced Risk Adjustment Coding Auditor to ensure accurate, complete, and compliant coding across Medicare, Medicaid, and ACA populations. The role emphasizes deep HCC expertise, auditing, and guidance to stakeholders.

The candidate will perform chart reviews, validate diagnoses, and provide feedback to improve documentation practices while meeting project deadlines in a remote setting.

Qualifications

  • Experience in risk adjustment coding and auditing.
  • Proficiency in interpreting CMS-HCC guidelines.
  • Ability to educate others on coding errors and trends.

Responsibilities

  • Conduct chart reviews to validate diagnoses and reporting accuracy.
  • Audit provider-reported codes for accuracy and documentation support.
  • Review records to ensure alignment with CMS-HCC guidelines.
  • Ensure compliance with regulatory requirements and organizational policies.
  • Handle patient information with HIPAA privacy and security.

Skills

Risk adjustment auditing
HCC coding
Regulatory compliance
Analytical thinking
Written/verbal communication

Education

Bachelor's degree
RHIT or RHIA credential (preferred)

Tools

Microsoft Excel
Word
Outlook
PowerPoint

Job description

TEKsystems is seeking an experienced Risk Adjustment Coding Auditor to ensure accurate, complete, and compliant coding across Medicare, Medicaid, and ACA populations. The role emphasizes deep HCC expertise, auditing, and guidance to stakeholders.

The candidate will perform chart reviews, validate diagnoses, and provide feedback to improve documentation practices while meeting project deadlines in a remote setting.

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