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HCC Coding Auditor - Health Plan Network

CHRISTUS Health • Irving, TX, US • published 2026-10-04 07:41:10.223185

Description

**Description** Summary: The HCC Coding Auditor will perform code audits and abstractions using the Official Coding Guidelines for ICD\-10\-CM and AHA Coding Clinic Guidance, following all state regulations, federal regulations, internal policies, and internal procedures. The HCC Coding Auditor will be involved with quality assurance auditing and risk adjustment code abstraction for the following programs: Commercial Risk Adjustment, Medicare Advantage Risk Adjustment, and HHS and Medicare RADV (Risk Adjustment Data Validation). This is a hybrid role. Responsibilities: * Meets expectations of the applicable OneCHRISTUS Competencies: Leader of Self, Leader of Others, or Leader of Leaders. * Performs Medical Record reviews and audits based on organizational priorities. These can include prospective and concurrent Clinical Documentation Improvement (CDI) workflows and retrospective auditing. Review and audits may lead to the addition, deletion, adjustment, or confirmation of diagnoses for risk adjustment. * Performs code abstraction and/or coding quality audits of medical records to ensure ICD\-10CM codes are accurately assigned and supported by clinical documentation to ensure adhere...

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