... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... reports based on data analysis and provides actionable recommendations to enhance operational and ...
... HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized ... reports based on data analysis and provides actionable recommendations to enhance operational and ...
Effective communication skills for collaborating with clinicians, billing teams, and auditors. Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal ...
Effective communication skills for collaborating with clinicians, billing teams, and auditors. Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal ...
$25.25 - $28.75/hr
Proficient knowledge of CMS-HCC model and guidelines * Previous experience in auditing medical records * Coding Certification required (CRC, RHIA, RHIT or similar) in good standing * ICD-10 ...
$25.25 - $28.75/hr
Proficient knowledge of CMS-HCC model and guidelines * Previous experience in auditing medical records * Coding Certification required (CRC, RHIA, RHIT or similar) in good standing * ICD-10 ...
Effective communication skills for collaborating with clinicians, billing teams, and auditors. Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal ...
Effective communication skills for collaborating with clinicians, billing teams, and auditors. Join our team as an HCC Coding Analyst to ensure precise clinical documentation that supports optimal ...
... in auditing data and preparing reports Experience in research interpreting and applying policies ... HCC is one of the country's largest singly-accredited, open-admission, community colleges offering ...
... in auditing data and preparing reports Experience in research interpreting and applying policies ... HCC is one of the country's largest singly-accredited, open-admission, community colleges offering ...
Medical Record Auditor
New York, NY · On-site
... CMS guidelines, HCC best practices and medical record documentation requirements. Essential ... CPC or CPMA (Medical Auditing Certification) from accredited source (American Health Information ...
Medical Record Auditor
New York, NY · On-site
... CMS guidelines, HCC best practices and medical record documentation requirements. Essential ... CPC or CPMA (Medical Auditing Certification) from accredited source (American Health Information ...
HEALTH CODER - HCC & RISK ADJUSTMENT
Burlingame, CA · On-site
$42.79 - $48.75/hr
Additional Cdi or auditing certifications (Ccds, Cdeo, Cpma) are preferred. * Experience * Minimum of 3 years of experience in medical coding with a focus on Hcc, risk adjustment, and Medicare ...
HEALTH CODER - HCC & RISK ADJUSTMENT
Burlingame, CA · On-site
$42.79 - $48.75/hr
Additional Cdi or auditing certifications (Ccds, Cdeo, Cpma) are preferred. * Experience * Minimum of 3 years of experience in medical coding with a focus on Hcc, risk adjustment, and Medicare ...
Other duties as assigned EXPERIENCE: * 3 years HCC coding and/or coding and billing required * 5 ... Coding/auditing claims for Medicare and Medicaid plans. * 2 year(s): Experience in managed health ...
Other duties as assigned EXPERIENCE: * 3 years HCC coding and/or coding and billing required * 5 ... Coding/auditing claims for Medicare and Medicaid plans. * 2 year(s): Experience in managed health ...
Other duties as assigned EXPERIENCE: * 3 years HCC coding and/or coding and billing required * 5 ... Coding/auditing claims for Medicare and Medicaid plans. * 2 year(s): Experience in managed health ...
Other duties as assigned EXPERIENCE: * 3 years HCC coding and/or coding and billing required * 5 ... Coding/auditing claims for Medicare and Medicaid plans. * 2 year(s): Experience in managed health ...
HEALTH CODER - HCC & RISK ADJUSTMENT
Burlingame, CA · Remote
$42.79 - $48.75/hr
Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred. * Experience : * Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare ...
HEALTH CODER - HCC & RISK ADJUSTMENT
Burlingame, CA · Remote
$42.79 - $48.75/hr
Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred. * Experience : * Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare ...
HEALTH CODER - HCC & RISK ADJUSTMENT
Burlingame, CA · On-site
$42.79 - $48.75/hr
Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred. * Experience : * Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare ...
HEALTH CODER - HCC & RISK ADJUSTMENT
Burlingame, CA · On-site
$42.79 - $48.75/hr
Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred. * Experience : * Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare ...
Other duties as assigned EXPERIENCE: * 3 years HCC coding and/or coding and billing required * 5 ... Coding/auditing claims for Medicare and Medicaid plans. * 2 year(s): Experience in managed health ...
Other duties as assigned EXPERIENCE: * 3 years HCC coding and/or coding and billing required * 5 ... Coding/auditing claims for Medicare and Medicaid plans. * 2 year(s): Experience in managed health ...
HEALTH CODER - HCC & RISK ADJUSTMENT
Burlingame, CA · Remote
$42.79 - $48.75/hr
Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred. * Experience : * Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare ...
HEALTH CODER - HCC & RISK ADJUSTMENT
Burlingame, CA · Remote
$42.79 - $48.75/hr
Additional CDI or auditing certifications (CCDS, CDEO, CPMA) are preferred. * Experience : * Minimum of 3 years of experience in medical coding with a focus on HCC, risk adjustment, and Medicare ...
The Chart Auditor will be responsible for assessing medical records to determine if the Evaluation and Management (E/M), procedures, and HCC/ICD-10 codes are within the health care policies and ...
The Chart Auditor will be responsible for assessing medical records to determine if the Evaluation and Management (E/M), procedures, and HCC/ICD-10 codes are within the health care policies and ...
Risk Adjustment - Risk Adjustment Coding Auditor 135-2014
Tulsa, OK · On-site
$25 - $28.25/hr
The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation ... QUALIFICATIONS: • Knowledge of CMS-HCC and HHS-HCC risk adjustment model. • Knowledge of ICD-10 ...
Risk Adjustment - Risk Adjustment Coding Auditor 135-2014
Tulsa, OK · On-site
$25 - $28.25/hr
The Risk Adjustment Auditor is responsible for reviewing medical records and related documentation ... QUALIFICATIONS: • Knowledge of CMS-HCC and HHS-HCC risk adjustment model. • Knowledge of ICD-10 ...
HCC is one of the country's largest singly-accredited, open-admission, community colleges offering ... SUMMARY Assist the Enrollment Officer in coordinating, managing and auditing all college enrollment ...
HCC is one of the country's largest singly-accredited, open-admission, community colleges offering ... SUMMARY Assist the Enrollment Officer in coordinating, managing and auditing all college enrollment ...
Compliance Coding Auditor
Norfolk, VA · On-site +1
The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is ...
Compliance Coding Auditor
Norfolk, VA · On-site +1
The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is ...
Compliance Coding Auditor
Norfolk, VA · On-site +1
The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is ...
Compliance Coding Auditor
Norfolk, VA · On-site +1
The Auditor must exhibit competence in Correct Coding Initiative (CCI), National Coverage Determination (NCD), Hierarchical Conditionals Categories (HCC) and other federal payer policies, and is ...
Clinical Auditor
$23.35 - $31.10/hr
High Desert Medical Group is seeking a full time Clinical Auditor for our Living Well Resource ... HCC) diagnoses. * Assist with scheduling so that all Senior Wellness visits are scheduled to ...
Clinical Auditor
$23.35 - $31.10/hr
High Desert Medical Group is seeking a full time Clinical Auditor for our Living Well Resource ... HCC) diagnoses. * Assist with scheduling so that all Senior Wellness visits are scheduled to ...
Clinical Auditor
Lancaster, CA · On-site
$23.35 - $31.10/hr
High Desert Medical Group is seeking a full time Clinical Auditor for our Living Well Resource ... HCC) diagnoses. * Assist with scheduling so that all Senior Wellness visits are scheduled to ...
Clinical Auditor
Lancaster, CA · On-site
$23.35 - $31.10/hr
High Desert Medical Group is seeking a full time Clinical Auditor for our Living Well Resource ... HCC) diagnoses. * Assist with scheduling so that all Senior Wellness visits are scheduled to ...
Hcc Auditor information
See salary details
$38.5K - $48.7K
3% of jobs
$48.7K - $59K
11% of jobs
$59K - $69.2K
8% of jobs
$72.5K is the 25th percentile. Wages below this are outliers.
$69.2K - $79.4K
11% of jobs
The median wage is $88.3K / yr.
$79.4K - $89.6K
20% of jobs
$89.6K - $99.9K
13% of jobs
$108K is the 75th percentile. Wages above this are outliers.
$99.9K - $110.1K
12% of jobs
$110.1K - $120.3K
11% of jobs
$120.3K - $130.5K
9% of jobs
$130.5K - $140.8K
3% of jobs
$140.8K - $151K
0% of jobs
$38.5K
$92.8K
$151K
How much do hcc auditor jobs pay per year?
What is an HCC auditor?
An HCC Auditor reviews medical records to ensure accurate Hierarchical Condition Category (HCC) coding for risk adjustment purposes. They verify that diagnoses are properly documented and supported to comply with CMS guidelines. Their work helps healthcare organizations receive appropriate reimbursements and maintain compliance with federal regulations. Additionally, HCC Auditors may provide education to coders and healthcare providers on best documentation practices.
What are the typical daily responsibilities of an HCC auditor?
As an HCC Auditor, your day-to-day responsibilities typically include reviewing medical records and coding documentation for accuracy, identifying and validating Hierarchical Condition Category (HCC) codes, and ensuring that patient data aligns with regulatory standards. You may also provide feedback and education to healthcare providers to improve documentation practices and address discrepancies. Collaboration with coding teams, compliance staff, and clinical personnel is common to ensure cohesive and accurate risk adjustment reporting. This role often involves working with both electronic systems and paper records, requiring a detail-oriented and methodical approach.
What are the key skills and qualifications needed to thrive in the HCC auditor position, and why are they important?
To thrive as an HCC Auditor, you need in-depth knowledge of medical coding, risk adjustment processes, and healthcare compliance, often supported by a certification such as CPC, CRC, or CCS. Familiarity with electronic health records (EHR) systems, coding software, and risk adjustment databases is also crucial. Strong analytical thinking, attention to detail, and excellent communication skills enable you to review charts accurately and collaborate with healthcare providers. These abilities are essential to ensure proper risk adjustment, maximize reimbursement, and support regulatory compliance in healthcare organizations.
What cities are hiring for Hcc Auditor jobs?
Cities with the most Hcc Auditor job openings:
What are the most commonly searched types of Hcc Auditor jobs?
The most popular types of Hcc Auditor jobs are:
What states have the most Hcc Auditor jobs?
States with the most job openings for Hcc Auditor jobs include:
What job categories do people searching Hcc Auditor jobs look for?
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Full-time
Re-posted 7 days ago
University Of Nevada (Reno) rating
8.5
Based on 18 frontline employees who took The Breakroom Quiz
82nd of 621 rated colleges and universities
Job description
POSITION SUMMARY/RESPONSIBILITIES
The Risk Adjustment Data Validation (RADV) Auditor is responsible for auditing medical records to validate ICD-10-CM coding accuracy and ensure compliance with Centers for Medicare and Medicaid (CMS) and RADV guidelines. This role focuses on performing detailed audits, analyzing data, and collaborating with providers and internal teams to support Hierarchical Condition Categories (HCC) ratio goals and risk adjustment improvement initiatives. The auditor prepares customized reports based on data analysis and provides actionable recommendations to enhance operational and clinical performance. Additionally, the position assists in managing data collection processes and develops procedures for monitoring, validating, and reconciling data for accuracy. Working closely with cross-functional teams, the auditor supports compliance, quality assurance, and risk mitigation strategies while contributing to the development of tools and processes to improve coding accuracy and audit efficiency.
EDUCATION/EXPERIENCE
Bachelor’s degree required. Coding certification (such as CPC, CRC, or CCS) is preferred, or candidates must demonstrate a willingness to obtain certification within 6–12 months of hire. Applicants should have 1–2 years of healthcare experience; prior coding experience is preferred. Strong analytical and problem-solving skills, coupled with attention to detail, are essential. Candidates must possess the ability to learn and apply ICD-10-CM coding principles, exhibit excellent communication and organizational skills. Proficiency in health information systems, electronic health records (EHRs), HEDIS, RADV, and claims data analysis is a plus.
LICENSURE/CERTIFICATION
Coding certification within 2 years of employment (e.g., Certified Professional Coder - CPC, Certified Risk Adjustment Coder-CRC)
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