Coding Auditor & Educator
$70K - $89K/yr
Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment * Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential * Strong knowledge of ICD-10 coding ...
Quick apply
$70K - $89K/yr
Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment * Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential * Strong knowledge of ICD-10 coding ...
Quick apply
$70K - $89K/yr
Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment * Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential * Strong knowledge of ICD-10 coding ...
$70K - $89K/yr
Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment * Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential * Strong knowledge of ICD-10 coding ...
$70K - $89K/yr
Minimum of two (2) years of Risk Adjustment (HCC) coding experience in a managed care environment * Current CCS, CCS-P, CPC, CPC-H, CPMA, or CRC credential * Strong knowledge of ICD-10 coding ...
$28 - $31.75/hr
Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities: Computer skills, including use of Electronic Health Records, auditing, and coding software.
$28 - $31.75/hr
Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities: Computer skills, including use of Electronic Health Records, auditing, and coding software.
The MRA Coding Auditor supports departmental Quality Assessment audits of internal Coding Analyst ... Stay current of industry coding, compliance, and HCC issues. Required to maintain relevant ...
The MRA Coding Auditor supports departmental Quality Assessment audits of internal Coding Analyst ... Stay current of industry coding, compliance, and HCC issues. Required to maintain relevant ...
$80 - $110/hr
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 ...
$80 - $110/hr
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 ...
Norfolk, VA · On-site
$80 - $110/hr
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 ...
Norfolk, VA · On-site
$80 - $110/hr
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 ...
Knoxville, TN · Remote
$23.50 - $26.75/hr
UHN Auditor provides superior customer experience by educating internally and externally of errors ... Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on ...
Knoxville, TN · Remote
$23.50 - $26.75/hr
UHN Auditor provides superior customer experience by educating internally and externally of errors ... Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on ...
Corvallis, OR · Hybrid
$28.25 - $32/hr
Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. * Experience with data analysis and report ...
Corvallis, OR · Hybrid
$28.25 - $32/hr
Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. * Experience with data analysis and report ...
Corvallis, OR · On-site
$31.33 - $46.01/hr
Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. * Experience with data analysis and report ...
Corvallis, OR · On-site
$31.33 - $46.01/hr
Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. * Experience with data analysis and report ...
Saint Louis, MO · Remote
$32 - $37/hr
... based on CMS HCC categories * Maintains knowledge of relevant regulatory mandates and ensures ... experience auditing Risk Adjustment records * CRC (Certified Risk Coder) in good standing
Saint Louis, MO · Remote
$32 - $37/hr
... based on CMS HCC categories * Maintains knowledge of relevant regulatory mandates and ensures ... experience auditing Risk Adjustment records * CRC (Certified Risk Coder) in good standing
Corvallis, OR · Hybrid
$28.25 - $32/hr
Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. * Experience with data analysis and report ...
Corvallis, OR · Hybrid
$28.25 - $32/hr
Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. * Experience with data analysis and report ...
Corvallis, OR · On-site
$26.75 - $30.50/hr
Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. * Experience with data analysis and report ...
Corvallis, OR · On-site
$26.75 - $30.50/hr
Three (3) years experience in CPT EM leveling, ICD-10 diagnosis coding, HCC diagnosis coding, medical claims auditing, and provider education required. * Experience with data analysis and report ...
Knoxville, TN · On-site
$23.50 - $26.75/hr
UHN Auditor provides superior customer experience by educating internally and externally of errors ... Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on ...
Quick apply
Knoxville, TN · On-site
$23.50 - $26.75/hr
UHN Auditor provides superior customer experience by educating internally and externally of errors ... Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on ...
Knoxville, TN · On-site
$23.50 - $26.75/hr
UHN Auditor provides superior customer experience by educating internally and externally of errors ... Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on ...
Knoxville, TN · On-site
$23.50 - $26.75/hr
UHN Auditor provides superior customer experience by educating internally and externally of errors ... Remains up to date with CMS and HHS HCC risk adjustment models * Ensures coding staff is current on ...
$28 - $31.75/hr
EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...
$28 - $31.75/hr
EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...
$28 - $31.75/hr
EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...
$28 - $31.75/hr
EXPERIENCE: 1. Extensive experience in ICD-10-CM, ICD-10-PCS, CPT, and MS-DRG, HCC and APR-DRG ... auditing techniques required. 3. Must possess the ability to mentor, educate and train others. 4. ...
Norcross, GA · On-site
The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC), Hospice, Home Health and/or SOURCE/CCSP service ...
Norcross, GA · On-site
The Compliance Auditor (CA) reports directly to the Vice President of Compliance (VPC) to conduct compliance audits for Health Care Centers (HCC), Hospice, Home Health and/or SOURCE/CCSP service ...
Requirements: VMG Health is seeking a Coding/Compliance Auditor to perform all levels of ... CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required.
Requirements: VMG Health is seeking a Coding/Compliance Auditor to perform all levels of ... CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required.
Respond to ad hoc data requests, analyses, and information needs from division, auditors ... HCC is one of the country's largest single-accredited, open-admission, community colleges offering ...
Respond to ad hoc data requests, analyses, and information needs from division, auditors ... HCC is one of the country's largest single-accredited, open-admission, community colleges offering ...
Requirements VMG Health is seeking a Coding/Compliance Auditor to perform all levels of ... CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required.
Requirements VMG Health is seeking a Coding/Compliance Auditor to perform all levels of ... CRC (Certified Risk Coder) coding certification and/or significant HCC coding experience required.
$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
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.
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.
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.
Cities with the most Hcc Auditor job openings:
The most popular types of Hcc Auditor jobs are:
States with the most job openings for Hcc Auditor jobs include:
The top searched job categories for Hcc Auditor jobs are:

6.5
Based on 9 frontline employees who took The Breakroom Quiz
WelbeHealth PACE (All-Inclusive Care for the Elderly) program provides seniors with the opportunity to continue living in their homes and in their communities. Our innovative and comprehensive range of medical services to participants is what ignites our passion to treat the whole person and not the symptoms! We employ a collaborative interdisciplinary team (IDT) approach to evaluate and guide participant care, which is key to WelbeHealth values, team culture, and mission.
At the direction of the Coding Supervisor, the Coding Auditor and Educator focuses on ensuring coding is accurate and properly supported by clinical documentation within the health records, as well as educating our teams on best practices to promote compliance.
Essential Job Duties:
Job Requirements:
Benefits of Working at WelbeHealth: Apply your coding expertise in new ways as we rapidly expand. You will have the opportunity to design the way we work in the context of an encouraging and loving environment where every person feels uniquely cared for.
Compensation consists of base salary plus bonus. WelbeHealth offers a competitive total rewards package that includes a 401(k) match, comprehensive healthcare coverage, and a broad range of additional benefits. Actual compensation will be determined based on experience and relevant qualifications.
COVID-19 Vaccination Policy
At WelbeHealth, our mission is to unlock the full potential of our vulnerable seniors. In this spirit, please note that we have a vaccination policy for all our employees and proof of vaccination, or a vaccine declination form will be required prior to employment. WelbeHealth maintains required infection control and PPE standards and has requirements relevant to all team members regarding vaccinations.
Our Commitment to Diversity, Equity and Inclusion
At WelbeHealth, we embrace and cherish the diversity of our team members, and we're committed to building a culture of inclusion and belonging. We're proud to be an equal opportunity employer. People seeking employment at WelbeHealth are considered without regard to race, color, religion, sex, gender, gender identity, gender expression, sexual orientation, marital or veteran status, age, national origin, ancestry, citizenship, physical or mental disability, medical condition, genetic information or characteristics (or those of a family member), pregnancy or other status protected by applicable law.
Beware of Scams
Please ensure your application is being submitted through a WelbeHealth sponsored site only. Our emails will come from @welbehealth.com email addresses. You will never be asked to purchase your own employment equipment. You can report suspected scam activity to fraud.report@welbehealth.com
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WelbeHealth is a healthcare organization based in Menlo Park, CA, US. Specializing in the field of healthcare and wellness, the company focuses its services primarily on senior citizens. They operate in a model known as Program of All-inclusive Care for the Elderly (PACE), which aims to provide complete health care services for seniors. The company was founded with the belief in the capacity of every human being for wellness, dignity, and joy.
Health care and social assistance
501 - 1,000 Employees
Menlo Park, CA, US
2016