We are seeking an experienced Auditor. The successful candidate will conduct audits of retrospective medical records to ensure proper documentation and accurate coding, thereby ensuring regulatory compliance. The Auditor will also play vital roles in facilitating audit data collection, educating clinical providers, maintaining up-to-date knowledge of regulatory changes, and analysing operational reports. Key Responsibilities: Conduct and interpret clinical validation audits to ensure accuracy of all reported CMS Hierarchical Condition Categories (HCC). Evaluate internal control procedures and perform quality auditing regarding risk adjustment data. Oversee RAPS submission and return file reconciliation, and resolve any related errors. Identify areas of need for provider education and training, such as improving medical record documentation and ICD coding. Develop and maintain a detailed database of medical record audit findings to support continuous learning and government regulatory audits. Meet and strive to exceed productivity benchmarks associated with medical record reviews. Consistently apply coding principles in audit activities while maintaining strict privacy and confidentiality standards. Maintain coding certification in accordance with AHIMA or AAPC requirements.Qualifications: detail oriented coding certification from AHIMA or AAPC. Expertise in risk adjustment data validation (RADV) audits. Proven skills in record keeping, data analysis and CMS submission process. Solid grasp of ICD coding education and updates. Outstanding interpersonal skills, with a focus on maintaining a detail oriented, pleasant, and accommodating manner with providers. Proven ability to maintain coding certification in accordance with AHIMA/AAPC requirements.