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Risk-Adjustment Medical Coding Auditor – ICD Expert
Job in
Appleton, Outagamie County, Wisconsin, 54914, USA
Listed on 2026-07-26
Listing for:
NACBA
Full Time
position Listed on 2026-07-26
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Compliance, Medical Records, Healthcare Administration
Job Description & How to Apply Below
NACBA is seeking a full-time Medical Records Auditor to perform audit and abstraction of medical records to identify and submit ICD codes for CMS risk adjustment, ensuring accuracy and compliance with state and federal regulations.
Responsibilities include supporting coding judgments, auditing for medical necessity, distinguishing active vs historical conditions, meeting project deadlines, and performing self-audits to align with CMS, OIG, and internal policies.
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