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HCC Coding Auditor Senior - Health Plan Network

CHRISTUS Health • Irving, TX, US • published 2026-10-04 07:41:10.223194

Description

**Description** **Summary:** HCC Coding Auditor Senior will perform code audits and abstraction using the Official Coding Guidelines for ICD\-10\-CM, AHA Coding Clinic Guidance, and in accordance with all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor Senior will be involved with activities of quality assurance auditing and risk adjustment code abstraction for the following programs: including but not limited to, Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is an onsite position with a remote option. **Responsibilities:** * Perform Medical Record reviews and audits based on organizational priorities. These can include both prospective and concurrent Clinical Documentation Improvement (CDI) workflows as well as retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment. * Perform code abstraction and/or coding quality audits of medical records to ensure ICD\-10\-CM codes are accurately assigned and supported by clinical documentation to ensure adherence with CMS...

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