Auditor

• Conduct coding, documentation, and validation audits of medical records and clinical data for risk adjustment vendors and other targeted universes
• Review patient medical records, including physician notes, lab results, and diagnostic reports, to identify relevant diagnoses and capture essential information for accurate coding
• Assign appropriate ICD-10 codes to document and accurately represent patient conditions and ensure compliance with coding guidelines and regulations
• Stay updated with changes in HIPAA protocols, coding guidelines, regulations, and compliance standards
• Meet team performance metrics for quantity of work completed and quality audit scores
• Conduct RADV/IPM Chart Review duties as assigned
• Periodically participate in the Coding Advisory Committee

Auditor jobs in Maine

Risk Adjustment Auditor