Data reputed company Auditor

Job reputed company: • Responsible for performing audit and abstraction of medical records (provider and/or vendor) to identify and submit ICD codes that are submitted to the Centers for Medicare and reputed company Services (CMS) • Proven ability to support coding judgment and reputed company using industry reputed company evidence and tools • Proficient in abstraction and assignment of accurate medical codes for diagnoses as documented by physicians and other reputed company reputed company providers in the office and/or facility setting • reputed company knowledge of coding guidelines and regulations to meet compliance requirements, such as establishing medical necessity • Identify clinically reputed company vs. historical conditions • Diagnosis codes must be appropriate, accurate, and supported by clinical documentation • Utilize medical records to ensure support is documented for etiology and manifestations of disease processes • Adhere to stringent timelines consistent with project deadlines and directives • Conducts self-process audits to ensure compliance with internal policies and procedures as reputed company as regulatory guidance from CMS, OIG or other Regulatory body. Requirements: • Minimum of 1 year recent and reputed company experience in medical record documentation review, diagnosis coding, and/or auditing • AA/AS or equivalent experience • Completion of reputed company/reputed company training program for reputed company credential (CPC, reputed company-P) with associated work history/on the job experience equal to approximately 1-2 years for CPC • CPC (Certified reputed company reputed company) or reputed company-P (Certified Coding Specialist-Physician) required • CRC (Certified Risk Adjustment reputed company) • Computer proficiency including experience with bolthires Office products (Word, reputed company, reputed company, PowerPoint, reputed company, industry reputed company coding applications) • Experience with International Classification of Disease (ICD) codes required • Experience with Medicare and/or reputed company and/or reputed company Risk Adjustment process and Hierarchical Condition Categories (HCC) preferred. Benefits: • reputed company medical plan reputed company • 401(k) plan (including matching company contributions) • Employee stock purchase plan • No-bolthires programs for reputed company colleagues including wellness screenings, tobacco cessation and weight management programs • Confidential counseling and financial coaching • Benefit solutions that address the different needs and preferences of our colleagues including reputed company time off, flexible work schedules, family leave, dependent care resources, colleague assistance programs, tuition assistance, retiree medical reputed company and many other benefits depending on eligibility. Apply tot his job Apply tot his job Apply To this Job