QHP Coding Auditor (REMOTE)

QHP Coding Auditor (REMOTE)

QHP Coding Auditor (REMOTE) Our client is seeking a highly skilled QHP Coding Auditor to perform initial chart reviews and ensure the highest standards of coding accuracy in a remote setting. The ideal candidate is detail-oriented, self-directed, and adept at maintaining precision under minimal supervision. Success in this role requires a balance of analytical rigor, strong communication, and disciplined organization to uphold compliance across multiple coding models.

This role is fully remote. Applicants must be able to work EST hours.

QHP Coding Auditor Responsibilities

• Conduct initial chart reviews and coding quality audits to validate ICD-10-CM code accuracy.
• Abstract and audit codes for QHP (RADV) projects, ensuring documentation fully supports coding decisions.
• Apply state, federal, and CMS documentation requirements consistently across all assignments.
• Maintain a minimum 95% accuracy rate on all coding projects.
• Utilize ICD-10-CM guidelines, AHA Coding Clinic guidance, and official coding standards in daily work.

QHP Coding Auditor Qualifications

• Active AHIMA or AAPC certification (e.g., RHIT, CCS, CCS-P, CPC, CIC); CRC strongly preferred.
• Minimum 7 years of coding experience, including 5+ years in Risk Adjustment (RADV experience required).
• Proficiency with Microsoft Office Suite and coding software or encoders.
• Strong organizational, written, and verbal communication skills; capable of working independently.
• Must have a secure, private workspace compliant with PHI confidentiality standards.

Compensation

(DOE)

Meet VanderHouwen

VanderHouwen Contractors Enjoy Exceptional Benefit Perks!

As an eligible contract employee with VanderHouwen, you'll have access to a full suite of benefits designed with your well-being in mind. Our comprehensive package includes medical, dental, vision, life insurance, short- and long-term disability, and a matching 401(k) to help secure your future.

VanderHouwen is an award-winning, Women & Diversity-Owned, WBENC certified professional staffing firm. Founded in 1987, VanderHouwen places experienced professionals across the nation! Our recruitment teams specialize in either Technology and IT, Engineering, Human Resources, or Accounting and Finance career markets. Partner with us to land your next exciting career!

VanderHouwen is an Equal Opportunity Employer and participates in E-Verify. VanderHouwen does not discriminate based on race, color, religion, sex, national origin, age, disability, or any other characteristic protected by applicable local, state, or federal civil rights laws.

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