QA Risk ADj Auditor II

Cambia Health Solutions - Salt Lake City, UT

Hiring: QA Risk ADj Auditor II Company: Cambia Health Solutions Location: Salt Lake City, UT Job Posted Time: 2026-09-10 10:59:55 Employment Type: Remote Target Skills & Keywords : ICD-10, Microsoft Excel About the job Qualifications: •Risk Adjustment Auditor I would have an Associate degree in Healthcare or related field and one year of experience in clinical coding or auditing or equivalent combination of education and experience. Risk Adjustment, HCC or Inpatient coding experience required. •Risk Adjustment Auditor II would have an Associate degree in Healthcare or related field and three years of experience in clinical coding or auditing or equivalent combination of education and experience. Risk Adjustment, HCC or Inpatient coding experience required. •Required Licenses, Certifications, Registration, Etc. •CPC and CRC coding certification required •Demonstrated ability to perform accurate and complete chart reviews for risk adjustment. •Demonstrated ability to perform quality audits of internal and vendor coding. •Knowledge of and adherence to Official ICD-9-CM/ICD-10 Coding Guidelines. •Demonstrated analytical ability to identify problems, develop solutions, and implement actions in a timely manner. •Demonstrated ability to identify and communicate trends in provider and vendor coding and documentation. •Demonstrated proficient PC skills and familiarity with corporate software, such as Word, Excel and Outlook. Compensation: •Flexible work environment (work from home / hybrid options) •Medical, dental and vision coverage for employees and their eligible family members, including mental health benefits Interested candidates, please apply directly through the job posting on company's career page or try via AI auto apply on this platform. Don't miss this opportunity to join a forward-thinking team!