Certified Medical Coding Auditor

A company is looking for a Medical Coding Auditor - Risk Adjustment.

Key Responsibilities

Analyze medical claims data and documentation for accurate diagnostic risk capture

Evaluate coding and documentation behavior, providing recommendations for improvement

Conduct quality assurance reviews of coding to ensure accuracy and adherence to standards

Required Qualifications

Bachelor's degree or four years of relevant work experience

Three years of experience as a RHIA, RHIT, or CPC certified coder

Current certification as a professional coder (RHIA, RHIT, or CPC)

CRC certification or willingness to obtain it within the first year

Additional certifications such as CCSP, CCS-H, CPC-P, and CPH-H are desirable