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Risk Adjustment Auditor: HCC Compliance & Coding
Job in
Tulsa, Tulsa County, Oklahoma, 74145, USA
Listed on 2026-09-09
Listing for:
CommunityCare HMO Inc.
Full Time
position Listed on 2026-09-09
Job specializations:
-
Healthcare
Healthcare Compliance, Medical Billing and Coding
Job Description & How to Apply Below
Community Care HMO Inc. seeks a Risk Adjustment Auditor to review medical records and documentation, ensuring accurate capture of diagnoses per CMS risk adjustment guidelines and ICD-10-CM standards. This role supports accurate risk scores, regulatory compliance, and program integrity.
The auditor will perform both retrospective and prospective reviews, identify coding gaps, and collaborate with coding teams to improve documentation quality. HIPAA compliance is essential.
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