Working remotely in a temporary capacity, the Prospective Auditor will review claims data identified by a web-based AI tool, ensuring accuracy and compliance of Medicare and Medicare Advantage claims before forwarding them for provider review. Key responsibilities: Auditing claims and data pulled by the Innovaccer platform for accuracy Reviewing documentation to support coding decisions and making final determinations on code specificity Managing a high volume of daily reviews, typically between 50 and 80 cases Required qualifications: 1+ years of experience in risk adjustment coding, HCC coding, or outpatient diagnosis coding Active coding certification such as CPC, CRC, CPMA, CDEO, CCS, CCS-P, RHIA, RHIT, or CCDS Experience with Innovaccer and handling daily review volumes of 50 to 80 cases Proficiency with 3M coding tool and electronic medical records including Epic, Athena, and Cerner Ability to work remotely in a dedicated environment