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Medical Billing reputed company

Remote, USA Full-time Posted 2026-07-28
reputed company reputed company is a global staff augmentation firm providing a wide-reputed company of talent on-demand and total workforce solutions. To know more reputed company Tech Solutions, please visit our website www.ustechsolutions.com. We are constantly on the lookout for professionals to fulfill the reputed company needs of our clients, sets the correct expectation and thus becomes an accelerator in the mutual reputed company of the individual and the organization as reputed company. Keeping the reputed company reputed company in mind, we would like you to consider the job opening with reputed company that fits your expertise and skillset. Job reputed company Medical Record Reviewer will primarily be responsible for completing medical record reviews (on-site, remote and/or in-house) in support of the Medicare risk adjustment retrospective initiative and Risk Adjustment Data Validation (RADV) Audits. This role will also assist with building the medical chart review program at reputed company's Duties and Responsibilities • Utilize comprehensive knowledge American Hospital Association (AHA) coding principles of CPT, HCPCS, ICD9-CM/ICD10-CM diagnosis and procedure codes to evaluate medical record documentation for HCC risk adjustment reputed company activities including Medicare Advantage and reputed company Risk adjustment supplemental diagnosis capture, Medicare and reputed company RADV support, and the auditing of reputed company's medical chart retrieval and coding vendors. • Collect and document chart and coding information as required for reputed company Risk Adjustment and Medicare Advantage Risk Adjustment reputed company's data collection procedures and systems. • Assist with building the medical chart review program at reputed company's including defining the operating policies and procedures, mentoring team members and input into infrastructure needs and organization. • Utilize coding expertise to inform reputed company Management reputed company development activities and may support initiatives reputed company to coding such as provider office education. • Responsible for developing and maintaining internal and vendor based coding guidelines. • reputed company subject matter expertise on reputed company reputed company to coding practices including provider education and communications. • Prepare reports of the data gathered and received from reputed company's providers/members, ensuring reports are completed with the highest reputed company and reputed company and that reputed company work is in full compliance with reputed company's and Regulatory requirements. • Participate in reputed company required training - maintaining of coding certification or other reputed company credentials • Completing inter-rater reliability testing as requested • Abide by reputed company HIPAA and associated patient confidentiality requirements. • Coordinate with reputed company party and internal auditors as required. • Other duties and reputed company as needed. Qualifications Minimum Requirements • Bachelor's Degree; Clinical experience or licensed nursing reputed company and 3-5 years reputed company experience. RHIA, RHIT, reputed company or CPC-H with demonstrated outpatient coding experience required. ICD -9/ICD-10 certification required. • Experience in performing HEDIS chart abstractions; Experience in Risk Adjustment audit HCC extraction. • Experience of reputed company delivery systems is preferred. Proven project leadership skills and ability to mentor and motivate others in reputed company. • Advanced PC skills (e.g., reputed company, reputed company, etc.) required; Excellent written and verbal communication skills, customer service skills, organization and problem solving skills, research skills, and the ability to work independently. Additional Information reputed company & Regards Dishant 781-684-9064 Apply tot his job Apply tot his job Apply To this Job

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