Senior HCC Auditor - Remote Risk-Adjustment Coding Expert

e4health; Pittsburgh (Allegheny County); Remote; USD 85,000 - 110,000; Full time

Benefits offered by this job

401(k) with company match

Full benefits package

Remote role

Job summary

e4health is seeking a Senior HCC Auditor for remote, full-time work to review medical records and validate HCC codes using ICD-10-CM guidelines. You will report quality results, track educational opportunities, and support coders and providers to sustain a 95%+ auditing accuracy while meeting productivity standards.

The role requires AHIMA/AAPC CRC credential (CRC preferred), at least seven years of US-based coding experience, and availability for Jan–Apr 2027 project commitments.

Qualifications

• Must possess an approved AHIMA or AAPC coding credential - CRC preferred
• Credential held for 7+ years
• Minimum 7 years’ coding experience
• 40 hour per week commitment preferred
• HCC coding experience required
• Cannot have coded BY 2025 ACA or HHS charts
• Must be available for entire project (Jan-April 2027)
• At least 7 years of relevant professional experience while living and working in the United States.

Responsibilities

• Completes all regularly scheduled quality assurance reviews for clients
• Knowledge of health systems operations, including an understanding of reimbursement methodologies and coding conventions
• Advanced knowledge and understanding of HCC/risk adjustment, coding and documentation requirements
• Demonstrate ability to perform accurate and complete chart audits for HCC/risk adjustment
• Demonstrated ability to identify and communicate trends in provider coding and documentation
• Excellent written, verbal, communication, and attention to detail skills
• Ensures all diagnoses are accurate and complete from the medical record in accordance with ICD-10 CM Guidelines for Coding and Reporting
• Confirms the correct code to the highest level of specificity as documented in the medical records
• Works effectively and efficiently within a team environment
• Complies with policies and procedures for confidentiality of all patient records and security of systems
• Maintains required productivity and quality requirements
• Maintains coding credential requirements

Skills

7+ years coding experience

HCC coding experience

Certified coder (CRC preferred)

Availability Jan-April 2027

US work authorization

Education

AHIMA or AAPC CRC credential

Job description

e4health is seeking a Senior HCC Auditor for remote, full-time work to review medical records and validate HCC codes using ICD-10-CM guidelines. You will report quality results, track educational opportunities, and support coders and providers to sustain a 95%+ auditing accuracy while meeting productivity standards.

The role requires AHIMA/AAPC CRC credential (CRC preferred), at least seven years of US-based coding experience, and availability for Jan–Apr 2027 project commitments.