Affordable Housing Trust for Columbus and Franklin County

HCC Coding Auditor

Affordable Housing Trust for Columbus and Franklin County

full-time

Posted on:

Location Type: Remote

Location: United States

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About the role

  • Utilize risk adjustment coding/HCC and HEDIS expertise to perform quality reviews on internal/subcontracted HCC coders/OP CDI.
  • Use audit tool to analyze quality results and track overall quality.
  • Provide necessary feedback and research to HCC Coder/ OP CDI in response to coding and documentation questions.
  • Ability to assess queries for compliance and appropriate composition based on the AHIMA Query Practice Brief
  • Prepare and deliver training on HCC documentation requirements, customized to the client audience (e.g., providers, HCC coders)
  • Assess HCC coders/OP CDI chart reviews for missed documentation or query opportunities impacting RAF scores/HEDIS measures
  • Review charts to assure clinical documentation supports MEAT requirements and identify trends in documentation gaps
  • Provide education to HCC Coders/OP CDI as needed based on audit findings.
  • Identify trends and perform training to improve HCC capture, HEDIS measure review, and quality.
  • Work with Manager to identify performance needs of Coders/OP CDI and create training to increase performance levels.

Requirements

  • Bachelor’s Degree preferred but not required, RN or RHIA
  • Coding credential of CCS or CRC required
  • 2-5 years of experience in auditing HCCs (prospective & retrospective) or outpatient CDI
  • Experience with Microsoft Office including 365, Word, Excel, PowerPoint
  • Experience working with offshore teams, preferred
  • 3 years of experience in auditing an ambulatory clinic setting, with knowledge of ICD-10-CM, HCC and CPT/HCPCS coding requirements, as well as OP CDI and HEDIS measures
Benefits
  • Competitive pay
  • Excellent benefit package

Applicant Tracking System Keywords

Tip: use these terms in your resume and cover letter to boost ATS matches.

Hard skills
risk adjustment codingHCC codingHEDIS expertiseauditingICD-10-CMCPT codingHCPCS codingchart reviewsdocumentation compliancequality analysis
Soft skills
feedback provisiontraining deliverycommunicationresearchtrend identificationperformance assessmenteducationcollaborationproblem-solvingadaptability
Certifications
CCSCRCRNRHIA