Home > Medical Coding Jobs > Utah > Risk Adjustment Coder/Auditor - contract with potential for permanent placement Job in Midvale

Risk Adjustment Coder/Auditor - contract with potential for permanent placement Job in Midvale, Utah

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Job Title: Risk Adjustment Coder/Auditor - contract with potential for permanent placement

Employer:Avec Health Solutions
Specialties:Risk Adjustment
Required Certifications:CPMA,CPC,CCS,or CRC
Required Experience:3 to 4 years
Preferred Experience:5 to 7 years
Location:6995 Union Park Ave, Ste 360 Midvale 84047, UT, US
Date Posted:8/27/2019

This is an exceptional opportunity to do innovative work that means more to you and those we serve at a large health group in Fort Meyers, Florida.

Risk Adjustment Coding Auditor

  • Responsible for ensuring complete risk scores and accurate revenue and mitigating payment error risk via auditing, education, and training for proper diagnosis coding and documentation practices.
  • Primary duties may include, but are not limited to:
    • Identifies opportunities to improve accuracy and completeness for revenue impact.
    • Translates data to provide answers for provider consultations in order to improve medical record documentation and risk scores.
    • Provides feedback to providers on performance improvement opportunities; tracks and prioritizes projects to improve coding and documentation outcomes. Develops and implements action plans to address issues identified through data analysis.
    • Provides oversight, guidance, and training to partner providers and clinicians related to CMS guidelines and HCC best practices.
    • Develops training programs and tools; performs internal process and policy audits.


  • Minimum of 3-5 years in medical claims coding required
  • Experience working with CMS, health insurers and medical providers strongly desired.
  • Experience with the nuances of diagnosis coding and risk adjustment programs preferred
  • Progressively responsible role with leadership experience and previous experience working in an educational/training role preferred.

Licensure, Certification, Registration: Medical Coding Certification, Certified Professional Coder (CPC), Certified Coding Specialist – Physician (CCS-P) or Certified Coding Specialist (CCS). Certified Risk Adjustment Coder (CRC) preferred (required within 6 months of hire)


  • Contractors must be a Certified Coder with a minimum of 2-5 years of HCC coding experience
  • Strong computer/technical skills and strong communication skills
  • Must have 2016, 2017, and 2018 ICD-10-CM coding manuals, high-speed and reliable internet, and a Windows based computer or laptop

Job Type:

·         Contract

Work authorization:

  • United States (Required)

Contract Length:

  • 6 months

Contract Renewal:

  • Possible

Work Location:

  • Onsite



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