HCC Auditor (Humana Experience Required) – Contract (3–6 Months)

We are seeking experienced HCC Auditors with Humana experience to support a HCC coding project. This contract assignment will run approximately 3–6 months with full‑time hours (minimum 40 hours per week).

Role Overview

The Auditor Specialist will perform quality assurance reviews on coded medical charts according to client‑specific guidelines. This role requires strong accuracy, adaptability, and the ability to work independently in a fast‑paced remote environment.

Key Responsibilities

• Audit coded charts assigned by the Quality Supervisor following client‑specific guidelines

• Navigate multiple client guideline sets with minimal difficulty

• Maintain 95%+ accuracy at the diagnosis level

• Respond to rebuttals submitted by coders or auditors

• Participate in weekly project review meetings

• Complete additional tasks as assigned by the Quality Project Manager

Required Qualifications

• Humana experience is required

• High school diploma or GED

• AHIMA credentials (RHIA, RHIT, CCS) or AAPC credentials (CPC, CPC‑H, COC, CIC, CRC)

• 5+ years of medical coding experience

• Strong knowledge of ICD‑9/10 and HCC coding

• Solid understanding of medical terminology, abbreviations, pharmacology, and disease processes

• Ability to maintain high quality in a fast‑paced production environment

• Strong written and verbal communication skills

• Ability to work independently and meet deadlines

• Comfortable working on multiple client projects

• Proficient with computer systems and secure data processing

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