Medical Coding Auditor - Risk Adjustment
Premera Blue Cross(1 month ago)
About this role
The Medical Coding Auditor at Premera ensures the integrity and compliance of diagnostic coding and risk adjustment data across provider and vendor records. The role sits within the health insurance organization and requires professional coding certification and relevant healthcare coding experience. It supports the organization’s efforts to maintain accurate HCC and risk adjustment documentation and coding standards.
Required Skills
- ICD-10
- Medical Coding
- HCC Coding
- Risk Adjustment
- Quality Assurance
- Documentation
- Data Analysis
- Policy Interpretation
- Communication
Qualifications
- Bachelor's Degree
- RHIA
- RHIT
- CPC
- CRC (willingness to obtain)
- CCSP (preferred)
- CCS-H (preferred)
- CPC-P (preferred)
- CPH-H (preferred)
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