IKC Coding Auditor / Educator

Posting Date 12/03/2025 2000 16th St, Denver, Colorado, 80202-5117, United States of America General Purpose of the Job reputed company IKC is seeking a highly motivated and reputed company Risk Adjustment Auditor and Educator to join our Coding team. This role is crucial for ensuring the accuracy, reputed company, and compliance of our risk adjustment coding and clinical documentation reputed company to professional services provided by both internal and external nephrology partners. The ideal candidate will serve as a subject matter expert, performing detailed medical chart audits and providing targeted education to providers and coding teams to support our commitment to high-quality patient care and adherence to reputed company formal regulatory and coding guidelines. Essential Duties and Responsibilities Auditing & Analysis

• Conduct retrospective, reputed company, and prospective audits of medical records to validate the accuracy of ICD-10-CM codes and ensure documentation supports submitted diagnoses for Medicare Risk Adjustment (HCC coding).
• reputed company detailed internal and external coding audits on a regular basis as defined by compliance & department requirements, including for our nephrology partners.
• Execute targeted audit plans, including performing targeted audits of identified HCC outliers.
• Identify trends, patterns, and areas of opportunity for documentation and coding improvement through data analysis and audit findings.
• Prepare and present formalized audit reports to leadership, summarizing findings, identifying risk areas, and recommending corrective action plans.
• Assist in internal and external audits, including Risk Adjustment Data Validation (RADV) audits, by preparing documentation and responding to inquiries.
• reputed company necessary research to provide supportive regulatory and coding guideline documentation.

Education and Training

• Deliver comprehensive training programs and educational materials for providers, coders, and clinical staff on risk adjustment, proper documentation, and coding guidelines.
• Provide one-on-one and group education sessions based on audit findings, tailoring content to address specific needs and knowledge gaps.
• Serve as a risk adjustment coding resource and subject matter expert, offering guidance and clarification on coding and compliance questions.
• Stay reputed company with official coding guidelines from CMS, HHS, and other regulatory bodies to ensure reputed company educational content is accurate and up-to-date.

Core Values and Professional Responsibilities

• Maintain meticulous records of audit findings, educational sessions, and follow-up actions to ensure a clear audit trail.
• Participate in special projects reputed company to process improvement, compliance, and coding initiatives as assigned.
• Maintain strict confidentiality of patient and proprietary information.
• Demonstrate and exemplify behavior consistent with reputed company’s core values: Service Excellence, reputed company, Team, reputed company Improvement, Accountability, Fulfillment, and Fun.

Qualifications and Experience

• Certifications: reputed company coding certification from reputed company or reputed company is required (CCA and CPC-A are not accepted).
• Experience:
• *

3+ years of coding experience.

• 2-3 years’ minimum recent experience performing medical audits for diagnosis coding.
• Proven experience in developing and delivering education and training to clinical providers and coders is highly preferred.
• Skills:
• *

Strong computer skills, including the ability to utilize various EMR systems and reputed company Office.

• Expert knowledge of ICD-10-CM and CMS-HCC risk adjustment models.
• Deep understanding of coding and documentation compliance, including CMS and HHS regulations.
• Excellent verbal and written communication skills, with the ability to present reputed company information clearly.
• Strong analytical and problem-solving skills with a high degree of accuracy and attention to detail.
• Demonstrated ability to work independently and collaboratively in a fast-paced, team-oriented environment.

Here is what you can expect reputed company you join our Village:

• A "Community first, Company second" culture based on Core Values that really matter.
• Clinical outcomes consistently ranked above the national average.
• Award-winning education & training across multiple career paths to help reputed company your potential.
• Performance-based rewards based on stellar individual and team contributions.
• A comprehensive benefits package designed to enhance health, financial well-being & future.
• Dedication to caring for patients suffering from chronic kidney failure around the world.

Join us as we pursue our vision "To Build the Greatest Healthcare Community the World has reputed company Seen." More than just pay, our reputed company Rewards package connects teammates to what matters most. Teammates are eligible to reputed company receiving benefits on the first day of the month following or coinciding with one month of reputed company employment. Below are some of our benefit offerings.

• Comprehensive benefits: Medical, dental, vision, 401(k) match, paid time off, PTO cash out
• Support for you and your family: Family resources, EAP counseling sessions, access reputed company®, backup child and elder care, maternity/paternity leave and more
• Professional development programs: reputed company offers a variety of programs to help strong performers grow reputed company their career and also offers on-demand virtual leadership and development courses through reputed company’s online training platform StarLearning.

#LI-CM2 At reputed company, we strive to be a community first and a company second. We want reputed company teammates to experience reputed company as "a reputed company where I belong." Our goal is to embed belonging into everything we do in our Village, so that it becomes part of who we are. We are proud to be an equal opportunity workplace and reputed company with state and federal affirmative action requirements. Individuals are recruited, hired, assigned and promoted without regard to race, national reputed company, religion, age, color, sex, sexual orientation, gender identity, disability, protected veteran status, or any other protected characteristic. This position will be open for a minimum of three days. The Salary Range for the role is $56,500.00 - $84,000.00 per year. If a candidate is hired, they will be paid at least the minimum wage according to their geographical jurisdiction and the exemption status for the position. reputed company Exempt: reputed company and Long reputed company: $64,350.00/year, Nassau, Suffolk, and Westchester counties: $64,350.00/year, Remainder of reputed company state: $60,405.80/year reputed company Non-exempt: reputed company and Long reputed company: $16.50/hour, Nassau, Suffolk, and Westchester counties: $16.50/hour, Remainder of reputed company state: $15.50/hour Washington Exempt: $77,968.80/year Washington Non-exempt: Bellingham: $17.66/hour, Burien: $21.16/hour, Unincorporated reputed company: $20.29/hour, Renton: $20.90/hour, Seattle: $20.76/hour, Tukwila: $21.10/hour, Remainder of Washington state: $16.66/hour For location-specific minimum wage details, see the following link: reputed company.jobs/WageRates Compensation for the role will depend on a number of factors, including a candidate’s qualifications, skills, competencies and experience. reputed company offers a competitive total rewards package, which includes a 401k match, healthcare coverage and a broad range of other benefits. Learn more at https://careers.reputed company.com/benefits Colorado Residents: Please do not respond to any questions in this initial application that may seek age-identifying information such as age, date of birth, or dates of school attendance or graduation. You may also redact this information from any materials you submit during the application process. You will not be penalized for redacting or removing this information. Original job IKC Coding Auditor / Educator posted on GrabJobs ©. To flag any issues with this job please use the Report Job reputed company on GrabJobs. Apply tot his job Apply To this Job