The Judge Group, LLC
New York, NY
HCC Auditor (Humana Experience Required) – Contract (3–6 Months)
We are seeking experienced HCC Auditors with Humana experience to support a HCC coding project. This contract assignment will run approximately 3–6 months with full‑time hours (minimum 40 hours per week).
Role Overview
The Auditor Specialist will perform quality assurance reviews on coded medical charts according to client‑specific guidelines. This role requires strong accuracy, adaptability, and the ability to work independently in a fast‑paced remote environment.
Key Responsibilities
Audit coded charts assigned by the Quality Supervisor following client‑specific guidelines
Navigate multiple client guideline sets with minimal difficulty
Maintain 95%+ accuracy at the diagnosis level
Respond to rebuttals submitted by coders or auditors
Participate in weekly project review meetings
Complete additional tasks as assigned by the Quality Project Manager
Required Qualifications
Humana experience is required
High school...