Offer summary

Qualifications:

3 years of relevant coding/audit experience required., Proficiency in ICD-10-CM coding and understanding of HCC risk adjustment is essential., Completion of an AAPC or AHIMA coding program is necessary., AA/AS degree or equivalent experience is preferred..

Key responsibilities:

Validate and review Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews.

Ensure accurate, complete, and compliant ICD-10 coding for risk adjustment submission.

Contribute to audit accuracy and process improvements while maintaining compliance with regulations.

Perform all audits in compliance with HIPAA privacy and security rules.

Job description

Our Client, a Retail Pharmacy company, is looking for a Coding Auditor for their Remote location.

Responsibilities:

The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission

Requirements:

3 years of relevant coding/audit experience.
Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.
Proficiency in ICD-10-CM coding with strong understanding of HCC risk adjustment
Attention to detail and accuracy in retrospective chart reviews
Familiarity with CMS coding guidelines and HIPAA-compliant data handling
Candidates must have experience working with Microsoft Office tools and industry-standard coding platforms.
Prior experience in retrospective risk adjustment audits and validation is preferred.
All audits must be performed in compliance with HIPAA privacy and security rules.
AA/AS degree or equivalent experience.
Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC) with a minimum of 3 years of relevant coding/audit experience

Why Should You Apply?

Health Benefits
Referral Program
Excellent growth and advancement opportunities

As an equal opportunity employer, ICONMA provides an employment environment that supports and encourages the abilities of all persons without regard to race, color, religion, gender, sexual orientation, gender identity or express, ethnicity, national origin, age, disability status, political affiliation, genetics, marital status, protected veteran status, or any other characteristic protected by federal, state, or local laws.

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