Quality Review And Audit Analyst – Remote

TheCignaGroup LLC

Fully remote
Medical coding
Icd-10-cm coding
Risk adjustment model
The Cigna Group is seeking a Quality Review and Audit Analyst with expertise in medical coding and risk adjustment, specifically focusing on evaluating medical documentation and ensuring compliance. The role is remote and requires at least two years of relevant experience and specific coding certifications

Matching Summary

Match Score: 85

The Cigna Group is seeking a Quality Review and Audit Analyst with expertise in medical coding and risk adjustment, specifically focusing on evaluating medical documentation and ensuring compliance. The role is remote and requires at least two years of relevant experience and specific coding certifications.

Skills & Requirements

Must-have

  • Medical coding
  • ICD-10-CM coding
  • Risk Adjustment Model
  • HCC coding
  • Data audits
  • Compliance review

Nice-to-have

  • Excel proficiency
  • Medical claims knowledge
  • Longitudinal thinking

Key Requirements

  • High school diploma
  • 2+ years of experience
  • Coding certification (CPC, CCS-P, RHIT, etc.)
  • CRC certification within 6 months
  • Familiarity with CMS regulations
  • Computer competency

Work Rights

Not specified

Tailored Resume

Cover Letter