Auditor, Risk Adjustment

📋 Description

• Perform internal/external audits of ICD-10-CM coding.
• Audit for accuracy, completeness, and CDI opportunities.
• Benchmark QA programs with management.
• Monitor EDGE data relevance in provider docs.
• Review Risk Adjustment Coding performance and trends.
• Ensure ICD-10-CM guideline compliance.

🎯 Requirements

• Bachelor's degree in a relevant field or commensurate experience.
• Certified Professional Coder (CPC).
• 3+ years retrospective risk adjustment coding experience.
• 1+ year Quality Auditing/RADV experience.

🎁 Benefits

• Medical, dental, and vision benefits.
• 11 paid holidays.
• Paid sick time and parental leave.
• 401(k) plan participation.
• Life and disability insurance.
• Paid wellness time and reimbursements.