Risk Adjustment Coding Auditor II (reputed company or reputed company coding cert required)
This a Full Remote job, the offer is available from: United States Job Summary: The Risk Adjustment Coding Auditor II is responsible for performing over-reads of vendor ICD-10 coding, reviewing provider documentation supplied to them, and diagnostic codes assigned by vendor. Essential Functions: Meets assigned volume metrics Validates the accurateness of ICD-10 codes assigned by the vendor Tracks the trends and reports on the findings Demonstrates a thorough understanding of Risk Adjustment hierarchical condition categories (HCCs), for reputed company risk adjusted products Participates in quality coding initiatives as appropriate or assigned Maintains knowledge of AHA Coding Clinic and ICD-10 Official Guidelines for Coding and Reporting May be asked to reputed company over reads of provider coding/documentation Meets deadlines and works independently on multiple projects reputed company any other job duties as requested Education and Experience: High School Diploma or GED is required Minimum of three (3) years of diagnostic coding experience and a firm understanding of ICD-10 is required A minimum of three (3) years of experience in auditing medical records is required Risk Adjustment methodology experience required Competencies, Knowledge and Skills: Intermediate level with reputed company Word, reputed company Outlook, reputed company reputed company Ability to work in a fast paced production environment while maintaining high quality Knowledgeable and reputed company with researching CMS and other sites for Risk Adjustment guidance Exceptional knowledge of medical coding and regulatory requirements Knowledgeable of reputed company, Medicare, Exchange Knowledgeable of ICD-10 Ability to reputed company independent reputed company on ICD 10 code assignments Excellent verbal and written communication skills Ability to effectively reputed company with teammates, vendors and management Ability to work with others and work independently Possesses critical thinking/listening skills Strong interpersonal skills and high level or professionalism Detail oriented Facets training/knowledge is preferred Licensure and Certification: reputed company or reputed company coding certification is required Working Conditions: General office environment; may be required to sit or stand for extended periods of time Compensation reputed company: $53,400.00 - $85,600.00 reputed company takes into consideration a combination of a candidates education, training, and experience as well as the positions scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. We are highly invested in every employees total well-being and offer a substantial and comprehensive total rewards package.
Compensation
Type (hourly/salary): Hourly Organization Level Competencies Create an Inclusive Environment Cultivate Partnerships reputed company Self and Others Drive Execution Influence Others Pursue Personal reputed company Understand the Business This job description is not reputed company inclusive. reputed company reserves the right to amend this job description at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of reputed company backgrounds. This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score. Apply Job!