Senior HCC Coding Auditor - Risk Adjustment (Remote)

CHRISTUS Health; Irving (TX); Hybrid; USD 90,000 - 120,000; Full time

Job summary

CHRISTUS Health is seeking an HCC Coding Auditor Senior to perform code audits, abstraction, and quality assurance for CMS risk adjustment programs. This onsite role allows remote options, supporting both commercial and Medicare risk strategies across multiple EMR systems.

The position emphasizes adherence to Official Coding Guidelines and ongoing provider education to improve accuracy and compliance. Strong communication and travel readiness are essential.

Qualifications

• Requires high school diploma or equivalent.
• Excellent written and verbal communication skills.
• Ability to drive within assigned areas or overnight travel for internal or external meetings.
• Capacity to attend remote provider meetings day/evening/weekends as needed within assigned regions as defined by manager/leadership.

Responsibilities

• Perform Medical Record reviews and audits based on organizational priorities.
• Perform code abstraction and/or coding quality audits to ensure ICD-10-CM codes are accurately assigned and supported by clinical documentation.
• Conduct audits within multiple EMRs/databases to support risk adjustment strategies.
• Identify revenue, reimbursement, and provider educational opportunities while remaining compliant with regulations.
• Prepare/audit analysis and provide feedback on noncompliance detected through auditing.
• Educate providers on risk adjustment to improve CMS payments and documentation quality.
• Provide measurable solutions to improve documentation and coding accuracy.

Skills

Communication skills

Travel readiness

Remote meeting readiness

Driving requirement

Education

High school diploma

Job description

CHRISTUS Health is seeking an HCC Coding Auditor Senior to perform code audits, abstraction, and quality assurance for CMS risk adjustment programs. This onsite role allows remote options, supporting both commercial and Medicare risk strategies across multiple EMR systems.

The position emphasizes adherence to Official Coding Guidelines and ongoing provider education to improve accuracy and compliance. Strong communication and travel readiness are essential.