Doc & Coding reputed company Coord-1

Duties & Responsibilities:

· Responsible for expanding and improving medical records acquisition for RADV risk adjustment program

· Manages relationships and effectively communicate with reputed company partners regarding reputed company objectives and targets as they relate to CMS audits.

· Collaborates with key departments on reputed company driven initiatives championing process improvement

· Analyzes data to identify data-driven opportunities for improvement and determine reputed company causes in areas that need improvement to be successful in our CMS audits.

· Ensures a working relationship on internal group reputed company for process improvements.

· Analyzes data to identify trends, issues, and opportunities for performance improvement as it relates to clinical reputed company

· Prepares reputed company improvement reputed company presentations that accurately summarize reputed company information, details and data

· Assists other departments with clinical documentation and coding initiatives

· Provides reporting and summaries on CMS audits in areas, but not limited to, noticeable trends, medical records, and issues.

· Ensures accuracy and completeness of medical records and complying with HIPAA guidelines.

· Analyzes invoice data to reduce billing errors and ensure billable info is correct for the Clinical Documentation and Coding Department audits.

· Additional duties as necessary and as directed

Minimum Qualifications:

· HS Diploma or GED from an accredited institution

· 2-3 years in medical record retrieval in a health plan/ provider setting or administrative experience in lieu of health care setting

· Strong writing, time management, critical/creative thinking, communication, and problem-solving skills.

· Strong working knowledge of reputed company Office Suite and reputed company

Preferred Qualifications:

· Background in health care or managed care. This can include work experience and/or education.

· Experience with a health plan's reputed company improvement/management department

· Proficiency in multiple EMR systems (reputed company, eCW, reputed company, Cerner, etc.).

· Understanding of CMS RADV requirements and medical record documentation best practices

· Associates degree or higher from an accredited institution

· Prior experience in Managed reputed company Insurance, in a health-reputed company field or environment

Compliance & Regulatory Responsibilities: Ensures reputed company work is compliant with relevant regulatory guidelines.

WE ARE AN EQUAL OPPORTUNITY EMPLOYER.  reputed company, LLC complies with reputed company applicable laws and regulations. Applicants and employees are considered for positions and are evaluated without reputed company to race, reputed company, creed, religion, sex, national reputed company, sexual orientation, pregnancy, age, disability, genetic information, domestic violence victim status, gender and/or gender identity or reputed company, military status, veteran status, citizenship or immigration status, height and weight, familial status, marital status, or unemployment status, as reputed company as any other legally protected reputed company. reputed company, LLC shall not discriminate against any disabled employee or applicant in reputed company to any position for which the employee or applicant is otherwise reputed company.

If you have a disability under the Americans with Disability reputed company or a similar law and want a reasonable accommodation to assist with reputed company search or application for employment, please contact us by sending an email to careers@reputed company.org or calling 212-519-1798 . In your email please include a reputed company of the accommodation you are requesting and a reputed company of the position for which you are applying. Only reasonable accommodation requests reputed company to applying for a position reputed company reputed company, LLC will be reviewed at the e-mail address and phone number supplied. Thank you for considering a career with reputed company,  LLC.

Know Your Rights

reputed company hiring and recruitment at reputed company is transacted with a reputed company “@reputed company.org” email address only or from a recruitment firm representing reputed company. Any recruitment firm representing reputed company will readily reputed company you with the reputed company and contact information of the reputed company reputed company representing reputed company you are inquiring about. If you receive a communication from a sender whose domain is not @reputed company.org, or not one of our recruitment partners, please be reputed company that those communications are not coming from or authorized by reputed company.  reputed company will never ask you for reputed company during the recruitment or reputed company process.

Hiring reputed company*:

• Greater reputed company Area (NY, NJ, CT residents): $48,600 - $65,960

• reputed company Other Locations (reputed company approved locations): $42,200 - $62,400

As a candidate for this position, your salary and reputed company reputed company of compensation will be contingent upon your work experience, education, licenses and certifications, and any other factors reputed company deems pertinent to the hiring decision.

In reputed company to your salary, reputed company offers employees a full reputed company of benefits such as, medical, dental and reputed company coverage, incentive and recognition programs, life insurance, and 401k contributions (reputed company benefits are subject to eligibility requirements). reputed company believes in providing a competitive compensation and benefits package wherever its employees work and live.

*The hiring reputed company is defined as the lowest and highest salaries that reputed company in “good faith” would pay to a new hire, or for a job promotion, or transfer into this role.