Job Details

Job Summary

Under supervision, this position is responsible for ensuring the accuracy of auditing and data entry for assigned states; documenting quality performance audits, maintaining quality assurance statistics; and providing training as needed. In addition, this role researches and analyzes medical records when coding discrepancies are identified, validates coding accuracy, and supports reporting of audit findings.

Job Requirements

• High school diploma or GED.
• 2 years' business experience. A combination of college level education and experience will be considered
• Clear and concise interpersonal, verbal and written communication skills to facilitate the learning process; coaching and mentoring skills
• PC experience in Windows, Word, Excel, Access, and other business related/associated databases.
• Demonstrated analytical and organizational skills

Preferred Job Requirements

• Current certifications - CPC, CCS-P, CCS, or CRC (risk adjustment coder).
• 2 years' risk adjustment coding experience.
• Experience reviewing medical record information to identify all appropriate coding based on the CMS Coding Guidelines and/or Official ICD9 / ICD10 Coding Guidelines
• Experience providing coding and documentation best practices to providers/clinicians and business partners.
• Ability To Travel 20% – 30% Of the Time in and out of State

This is a Telecommute Role - (Work from Home)

Base Pay Range $22.54 - $40.31. Exact compensation may vary based on skills, experience, and location.

HCSC Employment Statement:

We are an Equal Opportunity Employment employer dedicated to providing a welcoming environment where the unique differences of our employees are respected and valued. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, protected veteran status, or any other legally protected characteristics. We are a drug-free and smoke-free workplace. Employment may be contingent upon successful completion of drug screening in accordance with applicable law.