Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Silver Spring, MD · Remote
$43.40/hr
Coding Auditor and Educator (Remote) Employment Type: Full-Time Shift: Days (SUMMARY) Position ... Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Dallas, TX · On-site +1
$22.25 - $30.50/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Memphis, TN · On-site +1
$21.75 - $29.75/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
Memphis, TN · On-site +1
$21.75 - $29.75/hr
Company Description Altegra Health is a total solutions partner for healthcare data auditing and ... Altegra Health specializes in: 1. CMS HCC Risk Adjustment 2. HEDIS 3. Medical Record Reviews ...
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics--such as HCC recapture rates, AWVs ... Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected ...
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics--such as HCC recapture rates, AWVs ... Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected ...
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected ...
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected ...
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 ...
$19.25 - $22/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 ...
$19.25 - $22/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 ...
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected ...
Houston, TX · Remote
$70K - $85K/yr
Additionally, you'll track and report on key performance metrics-such as HCC recapture rates, AWVs ... Prepare and/or perform auditing analysis and provide feedback on noncompliance issues detected ...
Columbia, MD · Remote
$19.25 - $25.50/hr
... auditors.Join our team as an HCC Coding Analyst to ensure precise clinical documentation that ... Remote
Quick apply
Columbia, MD · Remote
$19.25 - $25.50/hr
... auditors.Join our team as an HCC Coding Analyst to ensure precise clinical documentation that ... Remote
$27/hr
Certified Medical Coder (CRC) - Risk Adjustment Key Details Location: 100% Remote (Must reside in ... Review inpatient and outpatient medical records to validate HCC diagnoses. * Determine whether ...
New
$27/hr
Certified Medical Coder (CRC) - Risk Adjustment Key Details Location: 100% Remote (Must reside in ... Review inpatient and outpatient medical records to validate HCC diagnoses. * Determine whether ...
New
$23 - $31.50/hr
... auditing while maintaining exceptional coding accuracy and productivity standards. Key ... Review inpatient and outpatient medical records to validate HCC diagnoses. * Determine whether ...
New
$23 - $31.50/hr
... auditing while maintaining exceptional coding accuracy and productivity standards. Key ... Review inpatient and outpatient medical records to validate HCC diagnoses. * Determine whether ...
New
Brookline, MA · On-site +1
$55K - $61K/yr
... HCC institutions. This position's work location is fully remote, never on campus. The selected ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
Brookline, MA · On-site +1
$55K - $61K/yr
... HCC institutions. This position's work location is fully remote, never on campus. The selected ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
... HCC institutions. This position's work location is fully remote, never on campus. The selected ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
... HCC institutions. This position's work location is fully remote, never on campus. The selected ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
Boston, MA · On-site +1
$55K - $61K/yr
... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
Boston, MA · On-site +1
$55K - $61K/yr
... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
Boston, MA · On-site +1
$55K - $61K/yr
... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
Boston, MA · On-site +1
$55K - $61K/yr
... HCC institutions. This position's work location is fully remote with occasional time on-campus in ... Assists in the preparation and coordination of assigned study monitoring and auditing visits with ...
$64.5K - $67.5K
1% of jobs
$67.5K - $70.5K
1% of jobs
$70.5K - $73.5K
4% of jobs
$73.5K - $76.5K
4% of jobs
$76.5K - $79.5K
3% of jobs
$79.5K - $82.5K
6% of jobs
$84K is the 25th percentile. Wages below this are outliers.
$82.5K - $85.5K
10% of jobs
The median wage is $88.3K / yr.
$85.5K - $88.5K
21% of jobs
$88.5K - $91.5K
21% of jobs
$91.9K is the 75th percentile. Wages above this are outliers.
$91.5K - $94.5K
18% of jobs
$94.5K - $97.5K
10% of jobs
$64.5K
$87K
$97.5K
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.
Cities with the most Remote Hcc Auditor job openings:
The most popular types of Hcc Auditor jobs are:
States with the most job openings for Remote Hcc Auditor jobs include:
The top searched job categories for Remote Hcc Auditor jobs are:
$43.40/hr
Full-time
Re-posted 14 days ago
6.6
Based on 354 frontline employees who took The Breakroom Quiz
570th of 887 rated healthcare providers
Job Title:
Coding Auditor and Educator (Remote)
Employment Type:
Full-Time
Shift:
Days
(SUMMARY) Position Highlights:
Competitive pay
Additional Benefits: tuition reimbursement, free parking, employee discounts
Quality of Life:Flexible work schedules
Advancement:professional growth within the organization
Location:Holy Cross Health has two hospitals and four healthcare centers all a short driving distance from Washington DC and Baltimore, MD.
Description:
Monday-Friday
The Professional Coding Auditor Educator performs medical record audits including but not limited to analysis of medical record documentation, validation of primary and secondary diagnoses and procedures; and ensuring proper assignment of diagnosis and procedure codes using coding guidelines established by the Centers for Medicare and Medicaid Services (CMS).
Responsibilities:
Monitors accuracy of centralized coders' charge capture and coding with proper ICD-10, CPTs, as well as proper modifiers, adhering to local ministry and Trinity practices and policies.
Partners with leadership to improve HCC, high risk scoring, with provider and coder education.
Conducts ongoing reviews of patient medical record documentation and procedural and diagnosis coding by each practitioner.
Responsible for practitioner education in areas related to coding, documentation, and compliance.
Works closely with leadership and the department to establish and modify the charge description master (CDM) methodology and pricing models to ensure accuracy and regulatory compliance.
Reports to the Manager, Provider Revenue Operations
What you will need:
High school diploma or equivalent combination of education and experience
Certified Professional Coder or Registered Health Information Technician accreditation required.
Minimum of 2-5 years of professional coding experience with comprehensive knowledge of ICD-10, CPT, and HCPCs modifiers. Knowledge of Medicare, Medicaid, and other third-party billing rules and regulations.
3-6 years of professional coding experience; ability to code from operative reports; prior auditing experience.( Preferred)
Effective verbal, written, and interpersonal communication skills with the ability to comfortably interact with diverse populations.
Ability to work collaboratively in a team-oriented environment with a strong customer-service orientation.
Ability to handle patient and organizational information in a confidential manner.
Ability to demonstrate competency with a standard desktop and Windows-based computer system, including a basic understanding of email, e-learning, intranet and computer navigation. Ability to use other software as required to perform the essential functions of the job.
Demonstrated dependability and regular attendance.
Solid understanding of ICD-10 and CPT coding and medical terminology, with knowledge of Medicare, Medicaid, Health Maintenance Organization and commercial insurance plans.
Ability to exercise independent judgment as appropriate within standard practices and procedures.
Pay rate: $ 28.00 - $43.40
Pay is based on experience, skills, and education. Exempt positions under the Fair Labor Standards Act (FLSA) will be paid within the base salary equivalent of the stated hourly rates. The pay range may also vary within the stated range based on location.
About us:
Holy Cross Health is a Catholic, not-for-profit health system that serves more than 240,000 individuals each year from Maryland's two largest counties - Montgomery and Prince George's counties. Holy Cross Health earns numerous national awards, clinical designations and accreditations across a wide range of specialties for providing innovative, high-quality health care services. We were named one of America's 100 Best Hospitals for 2021.
Holy Cross Health is an Equal Employment Opportunity (EEO) employer. Qualified applicants are considered for employment without regard to Minority/Females/disabled/Veteran (M/F/D/V) status
Our Commitment
Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.
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Trinity Health Ann Arbor is a 537 -bed teaching hospital located on 340 acre campus. Recognized by IBM Watson as a Top 100 Hospital and #1 Teaching Hospital, Trinity Health Ann Arbor has been a leading health care provider for more than 100 years. Trinity Health has received numerous local and national awards in recognition of our leadership, quality outcomes, and clinical excellence.
Health care and social assistance
10,000+ Employees
Livonia, MI, US
