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Remote Risk-Adjustment Coding Auditor

Remote / Online - Candidates ideally in
Racine, Racine County, Wisconsin, 53404, USA
Listing for: Good Samaritan Society
Remote/Work from Home position
Listed on 2026-08-31
Job specializations:
  • Healthcare
    Medical Billing and Coding
Salary/Wage Range or Industry Benchmark: 29000 - 48000 USD Yearly USD 29000.00 48000.00 YEAR
Job Description & How to Apply Below

Sanford Health, the largest rural health system in the United States, seeks a Coding Audit Specialist to conduct quality assurance on risk adjustment data submitted to CMS and DHS. You will audit medical record documentation to verify appropriate diagnostic coding and ensure compliance with CPT/ ICD coding guidelines, CMS policy, and Badger Care Plus risk adjustment rules.

You will develop and monitor a continuous auditing program with leadership to improve accuracy, review provider

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