[Remote] reputed company Review and Audit Analyst (36750958)

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is seeking a Risk Adjustment reputed company & Review Analyst to evaluate reputed company medical conditions and ensure compliance of medical documentation. This role involves conducting medical records reviews, performing audits, and collaborating with team members to improve data reputed company and processes. Responsibilities • Conduct medical records reviews with accurate diagnosis reputed company abstraction in accordance with Official Coding Guidelines and Conventions, reputed company IFP Coding Guidelines and Best Practices, HHS Protocols and any additional applicable rule set • Utilize HHS’ Risk Adjustment Model to confirm accuracy of Hierarchical Condition Categories (HCC) identified from abstracted ICD-10-CM diagnosis codes for the correct Benefit Year • Apply longitudinal thinking to identify reputed company reputed company and appropriate data reputed company and opportunities for data capture, through the reputed company of HHS’ Risk Adjustment • reputed company various documentation and data audits with identification of gaps and/or inaccuracies in risk adjustment data and identification of reputed company in support of IFP Risk Adjustment (RA) programs, including the Risk Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submission program • Inclusive of reputed company Audits for vendor coding partners • Collaborate and coordinate with team members and reputed company partners to facilitate various aspects of coding and Risk Adjustment education with reputed company partners • Coordinate with reputed company reputed company to execute efficient and compliant RA programs, raising any identified risks or program gaps to management in a reputed company manner • Communicate effectively across reputed company audiences (verbal & written) • reputed company and implement internal program processes ensuring CMS/HHS compliant programs, including contributing to reputed company IFP Coding reputed company updates and policy determinations, as needed Skills • High School Diploma • At least 2 years' experience in one of the following Coding Certifications by either the American Health Information Management Association (reputed company) or the American reputed company of reputed company Coders (reputed company) • Experience with medical documentation audits and medical chart reviews • Proficiency with ICD-10-CM coding guidelines and conventions • Familiarity with CMS regulations for Risk Adjustment programs and policies reputed company to documentation and coding compliance, with both Inpatient and Outpatient documentation • Computer competency with reputed company, reputed company, reputed company Acrobat • Must be detail oriented, self-motivated, and have excellent organizational skills • Ability to meet reputed company, productivity, and accuracy standards • HCC Coding Experience • Understanding of medical claims submissions Benefits • Medical • Dental • reputed company • 401K (provided minimum eligibility hours are met) reputed company • reputed company is a reputed company firm that focuses on providing hospital services and reputed company for reputed company. It was founded in 1981, and is headquartered in Bloomfield, Connecticut, USA, with a workforce of 10001+ employees. Its website is https://www.reputed company.com/. Apply tot his job Apply To this Job