Full Time
AllCare Health
Hybrid (Grants Pass, OR)
Coding Auditor
AllCare Health | Quality Department | Grants Pass, Oregon
We Are Seeking Qualified Candidates to Join Our Team!
AllCare Health offers competitive wages and an excellent benefits package, including affordable healthcare, 401(k) retirement, wellness programs, and flexible scheduling options.
Summary of the Position
The Coding Auditor is responsible for developing, implementing, and maintaining auditing practices related to medical record coding and documentation to support accurate and complete risk adjustment outcomes for Medicare members.
This position reviews medical records and coding for accuracy and compliance with Centers for Medicare & Medicaid Services (CMS) Risk Adjustment Data Validation (RADV) requirements, identifies coding and documentation trends, and works collaboratively with providers and internal teams to improve documentation, coding accuracy, and risk adjustment outcomes.
Essential Duties
Ensures the accuracy and...