[Hiring] HCC Quality Auditor @CorroHealth

Role Description

HCC Coding Quality Specialist Team Members will be responsible for reviewing the accuracy of our HCC coded records, specifically those that map to HCCs and RxHCCs. Auditors will support their findings utilizing Medicare guidelines, ICD-10-CM guidelines as well as client specific.

• Ensure that the codes captured are supported by the documentation within the record and are properly coded following Medicare guidelines, ICD-10-CM guidelines as well as client specific guidelines for the project.
• Support your findings in a way the coder can easily identify and learn from the error.
• Have strong and professional communication skills.
• Be a resource for HCC coding team members by having a deep understanding of the project and coding guidelines.
• Follow Risk Adjustment Data Abstraction Rules.
• Assist with the creation of PowerPoints presentations for training purposes.
• Will be required to maintain a quality score of 95% or higher.
• Will be required to maintain an ongoing productivity level based on project requirements.
• Ensure individual compliance with all privacy and security rules and regulations and commit to the protection of all Company confidential information, including but not limited to, Personal Health Information.
• Align conduct with AHIMA's Standards of Ethical Coding and the Company’s Code of Ethics and Business Conduct and support the Company’s Ethics and Compliance Program.
• Comply with all internal policies and procedures.
• Regular, predictable, and punctual attendance is required.

Qualifications

• All auditors MUST be certified through either the AAPC or AHIMA. (Apprenticeship designations are not accepted.) Acceptable credentials would be CPC, CRC, CCS, or CCS-P.
• Must have at least 3 years of HCC coding experience with 2 years of auditing experience. Global experience preferred.
• Must have working knowledge and experience with systems such as EMRs, Billing systems, abstraction platforms, etc.

Physical Demands

Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions as described. Regular eye-hand coordination and manual dexterity is required to operate office equipment. The ability to perform work at a computer terminal for 6-8 hours a day and function in an environment with constant interruptions is required. At times, Team Members are subject to sitting for prolonged periods. Infrequently, Team Members must be able to lift and move material weighing up to 20 lbs. Team Members may experience elevated levels of stress during periods of increased activity and with work entailing multiple deadlines.