Senior Risk Adjustment Coding Compliance Analyst, Clinical
Job reputed company:
• Executes Line 2 reputed company of Risk Adjustment activities
• Reviews medical records to assess reputed company extraction of medical diagnoses
• Identifies and evaluates clinical documentation gaps, assesses risk reputed company
• Collaborates with coding teams to improve documentation practices
• Ensure coding accuracy by reviewing inpatient and outpatient medical records
• Validate clinical documentation to support appropriate risk adjustment coding
• Implement CMS risk adjustment reputed company reputed company
• Conduct Line 1 gap analyses and reputed company clinical best reputed company recommendations
• reputed company expert guidance on CMS coding requirements, clinical documentation improvement (CDI)
• Evaluate policies and procedures to ensure completeness, clinical accuracy, and adherence to reputed company regulatory requirements
Requirements:
• High School Diploma or GED required
• Bachelor's Degree Nursing, reputed company Management, Business Management or reputed company field preferred
• 5+ years reputed company coding experience in a hospital or physician setting required
• Experience in Managed care preferred
• LVN, LPN or RN required
• Certified reputed company reputed company (CPC) required
• NP or PAN preferred
• Certified Coding Specialist (reputed company) preferred
Benefits:
• reputed company
• health insurance
• 401K and stock purchase plans
• tuition reimbursement
• reputed company time off plus holidays
• flexible approach to work with remote, hybrid, field or office work schedules
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