Yale, MI · On-site +1
$24.25 - $27.50/hr
... for remote for qualified candidates. Job Summary: The Coding Auditor performs coding audits to ... Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities:
Yale, MI · On-site +1
$24.25 - $27.50/hr
... for remote for qualified candidates. Job Summary: The Coding Auditor performs coding audits to ... Hierarchical Condition Categories (HCC) experience, preferred. Knowledge, Skills and Abilities:
Livonia, MI · On-site +1
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Preferred prior experience in auditing and provider education. * Preferred credentials: Certified ...
Livonia, MI · On-site +1
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Preferred prior experience in auditing and provider education. * Preferred credentials: Certified ...
Livonia, MI · Remote
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Preferred prior experience in auditing and provider education. * Preferred credentials: Certified ...
Livonia, MI · Remote
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Preferred prior experience in auditing and provider education. * Preferred credentials: Certified ...
Livonia, MI · Remote
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Preferred prior experience in auditing and provider education. * Preferred credentials: Certified ...
Livonia, MI · Remote
$17.50 - $20/hr
Must possess extensive knowledge of ICD-10, HCPCS, CPT, and HCC guidelines, medical terminology ... Preferred prior experience in auditing and provider education. * Preferred credentials: Certified ...
... Condition Categories (HCC), standards of compliance, and clinical knowledge to identify ... Ability to work and lead remote employees. * Ability to withstand pressure of deadlines, multitask ...
... Condition Categories (HCC), standards of compliance, and clinical knowledge to identify ... Ability to work and lead remote employees. * Ability to withstand pressure of deadlines, multitask ...
A Remote HCC Auditor reviews medical records to ensure accurate Hierarchical Condition Category (HCC) coding and compliance with risk adjustment guidelines. They work from home, analyzing documentation to validate the appropriate assignment of diagnosis codes. This role helps healthcare organizations optimize reimbursement and maintain coding integrity. Strong knowledge of ICD-10 coding, Medicare guidelines, and auditing best practices is essential.
To thrive as a Remote HCC Auditor, you need expertise in medical coding, healthcare compliance, and risk adjustment principles, usually supported by credentials such as CPC, CRC, or a similar certification. Familiarity with electronic health records (EHRs), coding software, and Medicare Advantage systems is essential. Attention to detail, analytical thinking, and strong written communication help auditors deliver accurate reviews and clear reports in a remote environment. These combined skills ensure precise coding, regulatory compliance, and effective collaboration with healthcare teams to optimize risk adjustment outcomes.
Remote HCC Auditors often encounter challenges such as interpreting complex medical documentation, staying updated with evolving coding regulations, and maintaining focus while working independently. Managing these challenges involves ongoing professional development, open communication with coding and clinical teams, and utilizing productivity tools to track assignments. Connecting regularly with colleagues and participating in virtual audits or training sessions can foster a sense of teamwork and help address coding discrepancies. By proactively seeking resources and building strong digital communication habits, auditors can excel and deliver accurate, compliant results.
For Remote Hcc Auditor jobs in Michigan, the most frequently searched job titles are:
The top searched job categories for Remote Hcc Auditor jobs in Michigan are:
Cities in Michigan with the most Remote Hcc Auditor job openings:
$24.25 - $27.50/hr
Full-time
Posted 20 days ago
Current Saint Francis Employees - Please click HERE to login and apply.
Full TimeDaysThis position is eligible for remote for qualified candidates.
Job Summary: The Coding Auditor performs coding audits to assure compliance with Corporate Compliance Plan standards. This role develops, coordinates, and implements clinic wide education for coding and billing issues while serving as a resource to physicians, office staff, management and patients for coding and billing issues. Additionally, this role coordinates successful response to regulatory bodies and insurance companies for medical record reviews and audits.
Minimum Education: High School Diploma or GED. Bachelor's degree in Healthcare Administration or Business Administration, preferred.
Licensure, Registration and/or Certification: Certified Coding Specialist (CCS), Certified Professional Coder (CPC), Registered Health Information Technician (RHIT), or Registered Health Information Administrator (RHIA).
Work Experience: Minimum 3 years of hospital or physician auditing experience with 1 year of hospital or physician coding experience. Hierarchical Condition Categories (HCC) experience, preferred.
Knowledge, Skills and Abilities: Computer skills, including use of Electronic Health Records, auditing, and coding software. Demonstrated ability to audit Current Procedural Terminology (CPT) and Interventional Classification of Diseases, Tenth Revision (ICD-10) coding related to charting and billing utilizing knowledge obtained by coursework with subsequent certification and/or sufficient specialized, related experience to demonstrate advanced knowledge of coding to perform audits.Effective interpersonal, oral and written communication skills. Ability to organize and prioritize work in an efficient and effective manner to achieve goals. Uses good judgment in determining documentation sufficiency and how to best educate physicians and other providers of opportunities for improvement. Demonstrated understanding of complexities of office workflow and billing requirements.Ability to be an engaged team member and to provide value added service to all. Demonstrates flexibility in accomplishing challenging assignments.
Essential Functions and Responsibilities: Conducts coding audits of documentation of physicians and non-physician practitioners to assure compliance with documentation guidelines and the appropriate selection of CPT procedure codes and ICD-10 diagnosis codes. Communicates results of audit findings with manager, physicians, and medical director. Develops and delivers coding education specific to the needs of the requesting physicians and office staff. Collaborates to resolve patient complaints due to coding issues and in assurance of payment for services of denied services due to coding issues. Assists in review and analysis of documentation requests for audits performed by external regulatory bodies and insurance companies.
Decision Making: The carrying out of non-routine procedures under constantly changing conditions, in conformance with general instructions from a supervisor.
Working Relationships: Works with internal and/or external customers via telephone or face to face interaction. Works with other healthcare professionals and staff.
Special Job Dimensions: None.
Supplemental Information: This document generally describes the essential functions of the job and the physical demands required to perform the job.This compilation of essential functions and physical demands is not all inclusive nor does it prohibit the assignment of additional duties.
Corporate Compliance - Yale CampusLocation:
Tulsa, Oklahoma 74136EOE Protected Veterans/Disability
