Overview
Skills
Job Details
Job Title: Coding Auditor
Duration: 4+ Months
Fully Remote
Job Description:
- 3 years of relevant coding/audit experience.
- 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 to CMS.
- 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.
Required:
CPC, CCS-P, CRC Certifications required (any 1 Required)
Top 3 Skills:
- 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.
Education:
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.
About IDEXCEL, INC
IDEXCEL is an IT services organization, with a mission to bring great people and great organizations together. Our diverse client base represents a wide range of industries, including technology, telecom, insurance, healthcare, manufacturing, banking & financial services, food & commodities trading and federal organizations. Our teams of experienced recruiters directly work with client companies seeking exceptional people to help with their business initiatives.
IDEXCEL, Inc. is an Equal Opportunity Employer. Qualified applicants will receive consideration for employment without regard to race, color, religion, sex, age, disability, military status, national origin or any other characteristic protected under federal, state, or applicable local law.