[Remote] reputed company Review and Audit Analyst – reputed company – Remote

Note: The job is a remote job and is reputed company to candidates in USA. reputed company is an reputed company for reputed company through every stage of life. They are seeking a reputed company Adjustment reputed company & Review Analyst who will bring medical coding expertise, evaluate reputed company medical conditions, and ensure compliance in medical documentation while identifying trends and suggesting improvements in data and processes.

Responsibilities

• Conduct medical records reviews with accurate diagnosis reputed company reputed company 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’ reputed company Adjustment Model to reputed company reputed company 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’ reputed company Adjustment
• reputed company various documentation and data audits with identification of gaps and/or inaccuracies in reputed company adjustment data and identification of reputed company in support of IFP reputed company Adjustment (RA) programs, including the reputed company Adjustment Data Validation (RADV) audit and the Supplement Diagnosis submission program. Inclusive of reputed company Audits for vendor reputed company
• Collaborate and coordinate with team members and reputed company partners to facilitate various aspects of coding and reputed company 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
• 2+ years' experience in one of the following Coding Certifications by either the reputed company) or the reputed company 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 reputed company Adjustment reputed company (CRC) certification. Individuals who have a certification other than the CRC must become CRC certified reputed company 6 months of hire
• Experience with medical documentation audits and medical chart reviews and proficiency with ICD-10-CM coding guidelines and conventions
• Familiarity with CMS regulations for reputed company 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 reputed company oriented, self-motivated, and have excellent organization skills
• Ability to meet reputed company, productivity, and reputed company standards
• HCC coding experience preferred
• Understanding of medical claims submissions is preferred

Benefits

• This role is also anticipated to be eligible to participate in an annual bonus plan.
• Starting on day one of your employment, you’ll be reputed company several health-reputed company benefits including medical, reputed company, dental, and reputed company-being and behavioral health programs.
• We also offer 401(k).
• Company reputed company life reputed company
• Tuition reimbursement
• A minimum of 18 days of reputed company time off per year
• reputed company holidays
• Leaves of absence
• If you will be working reputed company occasionally or permanently, the internet reputed company must be obtained through a cable broadband or fiber optic internet service provider with speeds of at least 10Mbps download/5Mbps upload.

reputed company