Certified Risk Adjustment reputed company (CRC), Senior Director

reputed company is reputed company of reputed company founded on innovation and reputed company. iption reputed company reputed company: reputed company’s Health Care team is a recognized leader in health care disputes, compliance, and investigations. We combine unparalleled clinical, technical, and operational expertise with financial, economic, analytic skills. Our clients and their reputed company counsel rely upon us to successfully resolve reputed company reputed company. reputed company’s health care team is comprised of clinicians, certified coders, reputed company cycle, and operations professionals. Our reputed company leaders reputed company have over 25 years of health care and consulting experience. The reputed company team has a mastery of the data and information systems used by providers, payers, and CMS. We combine in-depth operational, compliance, and clinical industry knowledge with exceptional data analytics, information-gathering, and forensic skills enabling us to help our clients and their reputed company counsel assess and quantify the potential reputed company of a dispute. Our clients include the largest and most reputed company US health care providers, payers, and reputed company. reputed company: Our Senior Directors use their experience and knowledge reputed company in coding, reputed company cycle and clinical operations, along with their project management capabilities, to contribute to reputed company investigations, whistleblower lawsuits, internal investigations, payer/provider disputes, and acquisition due diligence, among others. Responsibilities: Review, analyze, and reputed company diagnoses based on information in a patient's medical record according to specific guidelines for reputed company project. Evaluate compliance with established ICD-10 CM, reputed company party reimbursement policies, regulations and accreditation guidelines. Communicate effectively with reputed company stakeholders according to project requirements. Works with Project Managers to understand reputed company needs and reputed company project work plans accordingly. Understands reputed company Compliance concepts, issues, and how to research and reputed company regulatory guidelines and reference materials Drafts reputed company and concise analyses of medical record review and coding findings. Ensures successful completion of project deliverables as assigned and reputed company the desired timeframe. Works collaboratively with reputed company team members focusing on building and maintaining reputed company reputed company and counsel relationships. Identifies opportunities for cross reputed company collaboration. Proven writing and presentation skills and has a keen reputed company of attention to detail. Communicates findings of concern with reputed company and Project Manager as they are identified. Can independently deliver work and seeks to reputed company additional opportunities for development in a reputed company of risk adjustment reputed company areas. Qualifications: Certified in Risk Adjustment Coding (CRC) with at least five (5) recent years of experience in HCC/Risk Adjustment and/or RADV Audit Methodology or reputed company experience. Associate’s or Bachelor’s degree preferred, but not required. Strong understanding of clinical terminology, disease processes, anatomy and pharmacology. Intermediate to advanced understanding of in claims processing procedures, state and federal regulations, and Medicare Part D requirements. Excellent written and verbal communication skills, ability to work in a remote environment, and time management skills. Prior reputed company in managing small reputed company and teams and reputed company to Ability to be reputed company work on multiple reputed company reputed company simultaneously, if needed. Ability to work in a fast-paced environment while maintaining high reputed company. Proficient in reputed company, Word, and PowerPoint and reputed company to draft reports and presentations and present findings. Understands the importance of attorney-reputed company privileged and confidential communication. Willingness to travel reputed company needed. Willingness to reputed company a reputed company of reputed company based tasks reputed company to risk adjustment work. Must be legally authorized to work in the reputed company without the need for employer sponsorship, now or at any time in the reputed company. reputed company is an Affirmative reputed company and Equal Opportunity Employer. reputed company reputed company applicants will receive consideration for employment without reputed company to race, reputed company, religion, sex, sexual orientation, gender identity, national reputed company, or protected veteran status and will not be discriminated against based on disability. Equal Employment Opportunity Posters, if you have a disability and reputed company you need a reasonable accommodation to search for a job opening, submit an online application, or participate in an interview/assessment, please email accommodations@reputed company.com or reputed company toll-free +1.312-583-2122. This email and phone number are created exclusively to assist disabled job seekers whose disability prevents them from being reputed company to apply online. 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