The Judge Group
Overview
We are seeking a detail-oriented and experienced Coding Auditor to join our team immediately through March 27, 2026. This role is critical in ensuring the accuracy and integrity of medical coding for risk adjustment purposes across ACA Commercial, Medicare, and Medicaid programs. Base pay range
$35.00/hr - $35.50/hr Employment type
Ongoing contract Date range
ASAP – March 27, 2026 Location
Remote Key Responsibilities
Review patient records to ensure provider documentation meets compliance standards and supports diagnosis/procedure codes. Conduct audits on abstracted files to verify coding accuracy, completeness, and adherence to ICD-CM (ICD-9/10) and CPT-4 guidelines. Ensure alignment with federal/state regulations, health system policies, and productivity benchmarks. Demonstrate proficiency in Hierarchical Condition Categories (HCCs) and contribute to quality coding initiatives. Clearly articulate findings and recommendations in both written and verbal formats. Required Qualifications
Associate degree and 3+ years of relevant experience in health plan or provider office medical coding. In lieu of degree, 5+ years of relevant experience accepted. Proficient in CMS-HCC model and guidelines. Prior experience auditing medical records. Active coding certification (CRC, RHIA, RHIT, or equivalent). Strong command of ICD-10 coding. Preferred Qualifications
Bachelor’s degree in a related field. Experience with NLP/AI-based coding software. Familiarity with risk adjustment methodologies. Specialty coding experience.
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We are seeking a detail-oriented and experienced Coding Auditor to join our team immediately through March 27, 2026. This role is critical in ensuring the accuracy and integrity of medical coding for risk adjustment purposes across ACA Commercial, Medicare, and Medicaid programs. Base pay range
$35.00/hr - $35.50/hr Employment type
Ongoing contract Date range
ASAP – March 27, 2026 Location
Remote Key Responsibilities
Review patient records to ensure provider documentation meets compliance standards and supports diagnosis/procedure codes. Conduct audits on abstracted files to verify coding accuracy, completeness, and adherence to ICD-CM (ICD-9/10) and CPT-4 guidelines. Ensure alignment with federal/state regulations, health system policies, and productivity benchmarks. Demonstrate proficiency in Hierarchical Condition Categories (HCCs) and contribute to quality coding initiatives. Clearly articulate findings and recommendations in both written and verbal formats. Required Qualifications
Associate degree and 3+ years of relevant experience in health plan or provider office medical coding. In lieu of degree, 5+ years of relevant experience accepted. Proficient in CMS-HCC model and guidelines. Prior experience auditing medical records. Active coding certification (CRC, RHIA, RHIT, or equivalent). Strong command of ICD-10 coding. Preferred Qualifications
Bachelor’s degree in a related field. Experience with NLP/AI-based coding software. Familiarity with risk adjustment methodologies. Specialty coding experience.
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