The Jacobson Group · 1 day ago
Prospective Coder Auditor
Missouri, United States
Contract
Onsite
Entry Level
$27/hr - $27/hr
1+ years expThe Jacobson Group is involved in a Medicare and Medicare Advantage risk adjustment initiative, and they are seeking a Prospective Coder Auditor to support this effort. The role focuses on validating diagnosis codes through high-volume chart reviews using the Innovaccer platform, ensuring coding accuracy and compliance with guidelines.
AssociationFinancial ServicesInformation Technology
Hiring Manager
Karrie Ruch
Responsibilities
Audit information pulled by the Innovaccer tool and validate diagnosis codes for accuracy and specificity
Review supporting medical documentation and make final determinations prior to provider review
Perform high-volume reviews with expected daily productivity of 50–80 charts
Focus exclusively on Medicare and Medicare Advantage (MA) populations
Utilize coding and EMR systems including 3M, Epic, Athena, and Cerner
Ensure coding accuracy and compliance with risk adjustment and outpatient coding guidelines
Qualification
Required
Minimum of 1 year of experience in risk adjustment coding, HCC coding, or outpatient diagnosis coding
Ability to consistently meet daily production expectations of 50–80 reviews
Active coding certification required (one of the following): CPC, CRC, CPMA, CDEO, CCS, CCS-P, RHIA, RHIT, or CCDS
Strong attention to detail and documentation review skills
Experience working with Medicare and/or Medicare Advantage data
Benefits
Medical insurance
Dental insurance
Vision insurance
401(k) retirement savings plan
Company
The Jacobson Group
The Jacobson Group is the leading provider of talent to the insurance industry.
51-200 employees
Funding
Current Stage
Growth StageLeadership Team
Corey Pinkham
Chief Executive Officer
Recent News
2026-01-06
2025-08-20
2025-03-04
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