BigR.io

Medical Coding Auditor Will this role be fully remote?: Yes Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Any Molina approved states What is the expected schedule (include dates/time/time zone): 7-4pm or 8-5pm local time M-F. What are the day-to-day job duties?: Abstract and review inpatient and outpatient medical records for (Hierarchical Condition Categories) HCCs to determine if the HCC is supported by the medical record documentation. Knowledge of ICD-9 ICD10 Official Coding Guidelines, AHA Coding Clinic, including Codling clinic clarifications for DOS year under review. CMS RADV Medical Reviewer Guidance (1/10/2020). Top Skills Required Must have prior experience with CMS Contract Level Risk Adjustment Data Validation Audits (RADV) and HHS RADV audits and IPM audits. Must have prior vendor coding review experience. Must have the ability to complete chart review production requirements. Must be experienced in risk adjustment...

BigR.io seeks a Medical Coding Auditor to review inpatient and outpatient records for HCCs, ensuring documentation supports codes under CMS RADV/HHS RADV guidelines. Work is remote in the United States with a 7-4 or 8-5 local schedule Monday–Friday. Must hold CRC certification and have 5+ years of risk adjustment auditing, especially CMS/HHS RADV experience. Proficiency in ICD-10 guidelines, AHA Coding Clinic, and strong Excel skills are required; prior vendor coding review and familiarity with #J-18808-Ljbffr

Medical Coding Auditor Will this role be fully remote?: Yes Are there any specific locations the candidates should be in (i.e., do they need to live in IL): Any Molina approved states What is the expected schedule (include dates/time/time zone): 7-4pm or 8-5pm local time M-F. What are the day-to-day job duties?: Abstract and review inpatient and outpatient medical records for (Hierarchical Condition Categories) HCCs to determine if the HCC is supported by the medical record documentation. Knowledge of ICD-9 ICD10 Official Coding Guidelines, AHA Coding Clinic, including Codling clinic clarifications for DOS year under review. CMS RADV Medical Reviewer Guidance (1/10/2020). Top Skills Required: Must have prior experience with CMS Contract Level Risk Adjustment Data Validation Audits (RADV) and HHS RADV audits and IPM audits. Must have prior vendor coding review experience. Must have the ability to complete chart review production requirements. Must be experienced in risk adjustment...