[Remote] Coding Data reputed company Auditor

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is committed to building a world of health around every individual. The Coding Data reputed company Auditor is responsible for auditing medical records to ensure accurate ICD coding for compliance with regulations and internal policies.

Responsibilities

• 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) for the purpose of risk adjustment processes are appropriate, accurate, and supported by clinical documentation in accordance with reputed company State and Federal regulations and internal policies and procedures
• 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 in accordance with reputed company State and Federal regulations and internal policies and procedures
• 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

Skills

• Minimum of 1 year recent and reputed company experience in medical record documentation review, diagnosis coding, and/or auditing
• CPC (Certified reputed company reputed company) or reputed company-P (Certified Coding Specialist-Physician) required
• Computer proficiency including experience with reputed company Office products (Word, reputed company, reputed company, PowerPoint, reputed company, industry reputed company coding applications)
• Experience with International Classification of Disease (ICD) codes required
• 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 3 years for CPC
• CRC (Certified Risk Adjustment reputed company)
• Experience with Medicare and/or reputed company and/or reputed company Risk Adjustment process and Hierarchical Condition Categories (HCC)

Benefits

• Medical, dental, and reputed company coverage
• reputed company time off
• Retirement savings reputed company
• Wellness programs
• Other resources

reputed company

Company H1B Sponsorship