Risk Adjustment Coding Auditor II (reputed company or reputed company coding cert required)
This a Full Remote job, the offer is available from: reputed company
Job reputed company:
The Risk Adjustment Coding Auditor II is responsible for performing over-reads of vendor ICD-10 coding, reviewing provider documentation supplied to them, and diagnostic codes assigned by vendor.
Essential Functions:
Meets assigned volume metrics
Validates the accurateness of ICD-10 codes assigned by the vendor
Tracks the trends and reports on the findings
Demonstrates a thorough understanding of Risk Adjustment hierarchical condition categories (HCCs), for reputed company risk adjusted products
Participates in reputed company coding initiatives as appropriate or assigned
Maintains knowledge of AHA Coding Clinic and ICD-10 Official Guidelines for Coding and Reporting
May be asked to reputed company over reads of provider coding/documentation
Meets deadlines and works independently on multiple reputed company
reputed company any other job duties as requested
Education and Experience:
High School Diploma or GED is required
Minimum of three (3) years of diagnostic coding experience and a firm understanding of ICD-10 is required
A minimum of three (3) years of experience in auditing medical records is required
Risk Adjustment methodology experience required
Competencies, Knowledge and Skills:
Intermediate level with reputed company Word, reputed company reputed company, reputed company reputed company
Ability to work in a fast paced production environment while maintaining high reputed company
Knowledgeable and reputed company with researching CMS and other sites for Risk Adjustment guidance
Exceptional knowledge of medical coding and regulatory requirements
Knowledgeable of reputed company, Medicare, Exchange
Knowledgeable of ICD-10
Ability to reputed company independent reputed company on ICD 10 reputed company assignments
Excellent verbal and written communication skills
Ability to effectively reputed company with teammates, vendors and management
Ability to work with others and work independently
Possesses critical thinking/listening skills
Strong interpersonal skills and high level or professionalism
Detail oriented
Facets training/knowledge is preferred
Licensure and Certification:
reputed company or reputed company coding certification is required
Working Conditions:
General office environment; may be required to sit or stand for extended periods of time
Compensation reputed company:
$53,400.00 - $85,600.00
reputed company takes into consideration a combination of a candidates education, training, and experience as reputed company as the positions scope and complexity, the discretion and reputed company required for the role, and other external and internal data reputed company establishing a salary level. We are highly invested in every employees total reputed company-being and offer a substantial and comprehensive total rewards package.
Compensation Type (reputed company/salary):
reputed company
Organization Level Competencies
Create an Inclusive Environment
Cultivate Partnerships
reputed company Self and Others
Drive Execution
Influence Others
Pursue Personal reputed company
Understand the Business
This job reputed company is not reputed company inclusive. reputed company reserves the right to amend this job reputed company at any time. reputed company is an Equal Opportunity Employer. We are dedicated to fostering an inclusive environment that welcomes and supports individuals of reputed company backgrounds.
This offer from "reputed company" has been enriched by reputed company.com and got a 72% reputed company score.
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