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Coding Quality Auditor


Reference Number: SMPACA17

Coding Quality Auditor
experience  Not Disclosed
location  Monroeville, PA (100% Remote)
duration  4.5 Months
salary  Not Disclosed
jobtype  Not Disclosed
Industry  Pharmaceutical
duration  $-4/hour - $1/hour
Job Description

Description:

Coding Auditor

3 years of relevant coding/audit experience.
The Coding Quality Auditor will be responsible for validating and reviewing Hierarchical Condition Category (HCC) risk adjustable charts through retrospective chart reviews. The role focuses on ensuring accurate, complete, and compliant ICD-10 coding for risk adjustment submission to CMS. Candidates must apply clinical documentation standards and industry guidelines to support coding decisions. This role contributes to audit accuracy, process improvements, and helps maintain compliance with state/federal regulations and internal policies.

Top 3 Skills:
1. Proficiency in ICD-10-CM coding with strong understanding of HCC risk adjustment
2. Attention to detail and accuracy in retrospective chart reviews
3. Familiarity with CMS coding guidelines and HIPAA-compliant data handling

Candidates must have experience working with Microsoft Office tools and industry-standard coding platforms. Prior experience in retrospective risk adjustment audits and validation is preferred. All audits must be performed in compliance with HIPAA privacy and security rules.

AA/AS degree or equivalent experience. Completion of an AAPC or AHIMA coding program (e.g., CPC, CCS-P, CRC) with a minimum of 3 years of relevant coding/audit experience.

Notes:
Fully Remote, Safety Sensitive


VIVA is an equal opportunity employer. All qualified applicants have an equal opportunity for placement, and all employees have an equal opportunity to develop on the job. This means that VIVA will not discriminate against any employee or qualified applicant on the basis of race, color, religion, sex, sexual orientation, gender identity, national origin, disability or protected veteran status

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