Remote Coding Audit Specialist Medicare Risk Adjustment
Remote / Online - Candidates ideally in
Rapid City, Pennington County, South Dakota, 57700, USA
Listed on 2026-08-28
Rapid City, Pennington County, South Dakota, 57700, USA
Listing for:
Good Samaritan Society
Remote/Work from Home
position Listed on 2026-08-28
Job specializations:
-
Healthcare
Medical Billing and Coding, Healthcare Compliance, Healthcare Administration
Job Description & How to Apply Below
Sanford Health is seeking a Coding Audit Specialist to ensure accuracy of risk adjustment data submitted to CMS and DHS. You will audit medical records, ensure correct coding per CPT, ICD-9/10, HCPCS, and HCC guidelines, and help develop a continuous monitoring program for Medicare Advantage, ACA/Exchange and Badger Care Plus populations.
The role requires knowledge of CMS guidelines, strong documentation review skills, and ability to present concise audit outcomes; remote SD facility with day
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