U

HCC Risk Adjustment Quality Auditor

Uasi
15 hours ago
Full-time
Remote
Remote
Remote Accounting

At UASI, we're driven by a mission to improve the quality and accuracy of clinical documentation through expert CDI consulting. As we continue to grow our service offerings, we’re looking for experienced and motivated HCC Risk Adjustment Quality Auditors to join our dedicated team in a fully remote capacity

As an HCC Auditor, this individual serves as a key quality and compliance resource by evaluating the accuracy and completeness of CDI staff reviews, validating HCC coding decisions, and ensuring adherence to CMS risk adjustment and organizational standards. This role requires advanced clinical and auditing expertise, critical thinking, and commitment to driving quality, consistency, and continuous improvement in risk adjustment documentation and coding practices.

Key Responsibilities:

  • Utilize risk adjustment coding and HCC expertise to perform quality reviews on internal/subcontracted OP CDI staff.
  • Use audit tool to analyze quality results and track overall quality.
  • Prepare and deliver training on HCC documentation requirements,... Click Apply to read the full job description.