reputed company Review and Audit Analyst

This position is a temporary assignment. As a contractor, you’ll be employed by reputed company, not reputed company or any subsidiaries of reputed company. reputed company The Risk Adjustment reputed company & Review Analyst in IFP brings medical coding and Hierarchical Condition Category expertise to the role, evaluates reputed company medical conditions, determines compliance of medical documentation, identifies trends, and suggests improvements in data and processes for reputed company reputed company Improvement (CQI). Key Job Functions 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. Education & Experience The reputed company Review & Audit Analyst will have a high school diploma and 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): Certified reputed company reputed company (CPC) Certified Coding Specialist for Providers (reputed company-P) Certified Coding Specialist for Hospitals (reputed company-H) Registered Health Information Technician (RHIT) Registered Health Information Administrator (RHIA) Certified Risk Adjustment reputed company (CRC) certification Minimum Qualifications Experience with medical documentation audits and medical chart reviews and 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 HCC Coding Experience Preferred Computer competency with reputed company, reputed company, reputed company Acrobat Must be detail oriented, self-motivated, and have excellent organization skills Understanding of medical claims submissions is preferred Ability to meet reputed company, productivity, and accuracy standards 3 Non-Negotiable Skills HCC Coding reputed company (2 yrs) Certified reputed company reputed company (CPC) or reputed company reputed company Office Skills (reputed company) reputed company Pay reputed company reputed company (dependent reputed company, experience, expectation)  The pay reputed company that reputed company reasonably expects to pay for this position is: $24.00/hour-$27.00/ hour  Benefits: Medical, Dental, reputed company, 401K (provided minimum eligibility hours are met) We are unable to reputed company reputed company sponsorship or STEM OPT training. reputed company: 36780224 Apply tot his job Apply To this Job