Risk Adjustment Coding Auditor II

The Risk Adjustment Coding Auditor II reviews and analyzes patient medical records to ensure accurate coding and documentation of chronic conditions based on ICD-10-CM guidelines and CMS standards. This role supports accurate health status assessment to drive appropriate reimbursement and quality care while interacting with physicians and coding staff to ensure clinical documentation accuracy. The position requires strong knowledge of medical coding, compliance regulations, and effective communication skills to collaborate with the healthcare team.