Coding auditor

3 weeks ago


Long Beach, United States eTeam Full time

Position: Coding Auditor

Location: Long Beach, CA (This role is a 100% remote position)

Shift: 5*8 hours (40 hours GTD)

Duration: 13 Weeks


Required Skills & Experience:

-Minimum of four years’ experience or a combination of healthcare related education and experience in coding and auditing.

-Minimum of two years’ of Risk Adjustment (HCC) coding experience in a managed care environment.

-Strong knowledge of ICD-10 coding standards.

-Experience in correct application of M.E.A.T. concepts.

-Proficient in Microsoft Office (Outlook, Word, Excel, and PowerPoint).


Duties and Responsibilities:

-Assist with retrospective and concurrent coding for PACE (Programs of All-Inclusive Care for the Elderly) Dual participants.

-Conducts pre-visit chart preparations and post visit chart reviews.

-Conducts audits and participates in provider education programs to ensure compliance with CMS risk adjustment diagnosis coding guideline.

-Works closely with direct manager in identifying opportunities for HCC coding education.

-Complete all required documentation in a timely and accurate manner.

-Protect privacy and maintain confidentiality of all company procedures and information about team members, participants, and families.


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