Massachusetts Licensed QHP Auditor

A company is looking for a QHP Auditor (AHA) to work remotely in Charlestown, MA.

Key Responsibilities

Conduct initial chart reviews and audits for risk adjustment coding

Ensure compliance with coding standards and regulations

Utilize coding software and tools for accurate documentation and reporting

Required Qualifications and Education

Current core coding credentials through AHIMA or AAPC (e.g., RHIT, CCS, CPC)

Minimum of 7 years coding experience, with at least 5 years in Risk Adjustment coding

Completion of an accredited medical coding program

RADV experience is mandatory

CPC Certification is required