HCC Remote Coder-Auditor

Long Beach, CA 90802

Industry: Coder - Auditor/Consultant Job Number: 2561

Job Description

Hierarchical Condition Categories

(HCC)Remote Coder/Auditors

Managed Resources is a nationwide leading provider of medical coding support, revenue cycle management, medical billing and coding review, and many other managed healthcare solutions.

We are now hiring Full-Time HCC Remote Coder/Auditors.
  • Flexible work hours (Seasonal Work)
  • Needed for a risk adjustment project.
  • Must be available for training during core business hours.
  • Work will be 100% Medicare advantage


The primary responsibility of the Auditor of Professional Coding is to audit CPT, HCPCS, ICD-10-CM, Modifiers, Units and identify documentation improvement based on medical record documentation, as needed for various client projects.


  • Meet client deadlines
  • Meet and exceed minimum productivity standards
  • Pass quality reviews.


Essential Job Functions:

Complete the following functions in accordance with CodingAID policies:

  • Abstract all E/M, CPT, HCPCS, ICD-10-CM, modifiers, units from the medical record documentation.
  • Enter data into audit software and/or report for audit summary and audit worksheets.
  • Evaluate the overall quality of physician documentation for quality improvement measures.
  • Must be able to meet the minimum productivity standards.
  • Must meet or exceed 95% accuracy rate on quality reviews.
  • Ensure accurate and timely submission of completed report to clients.
  • Enter time accurately and timely into our timekeeping system.
  • Comply with policies regarding the use and disclosure of protected health information which includes accessing and using protected health information only to the extent necessary to fulfill the above-mentioned responsibilities.
  • Ensure compliance with federal and state laws, regulations, and standards related to health information and coding principles.
  • Other duties as assigned

Ideal Candidates must have:
  • CPC and CRC certifications through AAPC
  • A minimum of five years’ experience required abstracting CPT, E & M, HCPCS and ICD-10-CM codes from provider documentation.
  • Requires advanced technical knowledge in specific surgical and medical specialties as assigned.
  • Extensive knowledge of medical terminology and ability to research coding related questions.
  • Must have experience with data entry of codes into a database and/or software tool.
  • Must have experience with remote and/or face to face provider education.
  • Proficiency in Microsoft Excel, Word, and EMR (Electronic Medical Record) systems.
  • Excellent oral and written communication skills.
  • Must be able to successfully pass Federal Background Check.

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