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HCC Auditor

Confidential
Confidential Salary
San Antonio, TX Full Time
POSTED ON 4/12/2025
AVAILABLE BEFORE 5/11/2025

HCC Auditor – Hybrid (Healthcare Industry)

Salary : $60,000 - $80,000 DOE

Location : Hybrid (2-3 days remote per week)

Schedule : Monday – Friday, 8 : 00 AM – 5 : 00 PM

Are you an experienced HCC Auditor looking for a hybrid opportunity in the healthcare industry? We are seeking a skilled professional to conduct chart audits, risk adjustment coding, and physician queries to ensure accuracy in HCC coding and compliance.

Key Responsibilities :

Perform prospective and retrospective chart reviews to validate coding accuracy

Identify HCC coding improvement opportunities and provide feedback to providers

Assist with CMS Risk Adjustment Data Validation (RADV) audits and health plan audits

Maintain tracking tools for medical record review projects

Stay current with ICD-10-CM guidelines, CMS regulations, and HCC coding updates

Follow HIPAA protocols and compliance standards

Qualifications :

3 years of medical coding experience (1 year in HCC / Risk Adjustment coding)

Strong knowledge of ICD-10-CM, CPT, and HCPCS coding

Experience in Medicare HCC coding and compliance

Certifications preferred : CPC, CCS, CCS-P, RHIT, CRC (AHIMA / AAPC)

Proficiency in Microsoft Outlook, Excel, and PowerPoint

Detail-oriented with strong analytical and problem-solving skills

Why Join Us?

Hybrid Work Model – Enjoy 2-3 days of remote work per week

Competitive Pay & Growth Opportunities

Ongoing Training & Development in HCC Coding and Compliance

If you're an HCC coding expert looking for a dynamic, high-impact role , apply today! πŸš€

Salary : $60,000 - $80,000

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