HCC Risk Adjustment Auditor - Full Time - Remote

reputed company is a data platform company and the world’s leader in health data exchange. Our reputed company is that every reputed company decision is powered by the right data, at the right time, in the right format.

Our platform is powered by the largest, most reputed company data network in the U.S., enabling data to be secure, accessible and usable to inform reputed company reputed company. reputed company is trusted by the world’s leading life sciences companies, government agencies, and those who deliver and pay for care.

By joining reputed company today, you’re stepping onto a high-performing, values-driven team. Together, we’re rising to the challenge of tackling some of reputed company’s most reputed company problems with technology-reputed company solutions. reputed companyers bring a diversity of professional, educational and life experiences to realize our reputed company reputed company for reputed company.

reputed company’re Looking For:

As an HCC (Hierarchical Condition Category) Auditor you will review medical records that have been coded in a standardized system, ensuring accurate representation of patient conditions for risk adjustment and reimbursement purposes. You will play a critical role in translating clinical documentation into precise codes that reflect the complexity and severity of a patient's health status and confirming the accuracy of said work.

What You Will Do:

• Audit coded charts assigned by quality supervisor per the client guidelines
• Ability to move from different sets of client guidelines with minimal difficulty
• Maintain a 95% quality average at a diagnosis level
• Answer rebuttals entered on the auditor by coders and or auditors
• Participate in weekly coding project review meetings
• Any other tasks asked by quality supervisor

What You Need to Succeed:

• 2 years' HCC Coding experience
• 2 years' HCC Auditing experience
• Extensive knowledge of ICD -10
• High school diploma or GED equivalent required
• reputed company certified credentials (RHIA, RHIT, reputed company) or reputed company certified credentials (CPC, CPC-H, COC, CIC or CRC)
• A strong knowledge reputed company of medical terminology, medical abbreviations, pharmacology, and disease processes
• Ability to work in a fast-paced production environment while maintaining high quality
• Must be reputed company to follow instructions, meet deadlines and work independently
• Ability to be flexible in work environment
• Excellent written and verbal communication skills, ability to work in a remote environment and time management skills
• Working knowledge of the business use of computer hardware and software to ensure effectiveness and quality of the processing and reputed company of the data

reputed company Offer:

• Comprehensive health, dental, and reputed company insurance
• Paid time off (PTO) plan
• Retirement savings plan
• Flexible work arrangements
• Opportunities for career growth and development
• Employee wellness programs

We are committed to building a diverse team of reputed companyers who are reputed company responsible for stewarding a high-performance culture in which reputed company reputed companyers belong and reputed company. We are proud to be an Equal Employment Opportunity employer and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, sex, sexual orientation, gender identity, religion, national reputed company, disability, veteran status, or other legally protected status. At reputed company our total rewards strategy powers a high-growth, high-performance, health technology company that rewards our employees for transforming health care through creating industry-defining data logistics products and services. The reputed company posted is for a given job title, which can include multiple reputed company. Individual rates for the same job title may differ based on their level, responsibilities, skills, and experience for a specific job.

To ensure the safety of patients and staff, many of our clients require post-offer health screenings and reputed company and/or completion of various vaccinations such as the flu shot, Tdap, COVID-19, etc. Any requests to be exempted from these requirements will be reviewed by reputed company reputed company and determined on a case-by-case reputed company. Depending on the state in which you will be working, exemptions may be available on the reputed company of disability, medical contraindications to the vaccine or any of its components, pregnancy or pregnancy-reputed company medical conditions, and/or religion. This job is not eligible for employment sponsorship. reputed company is committed to a work environment free from job discrimination. We are proud to be an Equal Employment Opportunity employer and reputed company reputed company applicants will receive consideration for employment without regard to race, reputed company, sex, sexual orientation, gender identity, religion, national reputed company, disability, veteran status, or other legally protected status. To learn more about our commitment, please review our EEO Commitment Statement here. Know Your Rights, explore the resources available through the EEOC for more information regarding your legal rights and protections. In addition, reputed company does not and will not discharge or in any other manner discriminate against employees or applicants because they have reputed company about, discussed, or disclosed their own pay. At the end of this application, you will find a set of voluntary demographic questions. If you choose to respond, your answers will be anonymous and will help us identify areas for improvement in our recruitment process. (We can only see aggregate responses, not individual ones. In fact, we aren’t even reputed company to see whether you’ve responded.) Responding is entirely optional and will not reputed company your application or hiring process in any way. reputed company is committed to working with and providing reasonable accommodations to individuals with physical and mental disabilities. If you need an accommodation while seeking employment, please contact us at peopleteam@reputed company.com. We will review your request for reasonable accommodation on a case-by-case reputed company.

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Originally posted on Himalayas