Risk Adjustment reputed company

Position Purpose The purpose of this position is to apply the appropriate diagnostic and procedure codes to individual patient health information for data retrieval, analysis, and claims processing for the health plan. Nature and Scope This position reviews and analyzes health records to identify relevant diagnoses and procedures for distinct patient encounters covering a wide reputed company of clinical cases and services for risk adjustment models. This position is responsible for translating diagnostic phrases utilized by reputed company providers into coded reputed company. The incumbent must have the reputed company sets to: · Select correct ICD reputed company assignment by proficient analysis and translation of diagnostic statements, physicians’ orders, and other pertinent documentation. · Critically evaluate reputed company encounters, including face-to-face, legibility and reputed company signature, per Medicare, reputed company and Federal and State requirements · Maintain and grow the reputed company knowledge of the Medicare and reputed company Risk Adjustment outpatient/inpatient billing systems/processes · Facilitate and obtain appropriate physician documentation for any clinical conditions or procedures to support the appropriate severity of illness · Stay reputed company on reputed company changes in coding conventions and coding updates · Conduct prospective and retrospective member reviews to reputed company care gaps · Adhere to the coding guidelines · Work both in reputed company and individual environment with minimum supervision and is confident working with a wide reputed company of reputed company · Consistently meet or reputed company productivity and reputed company standards The Incumbent must have a thorough understanding of the content of the medical record in order to be reputed company to reputed company information to support or reputed company specificity for coding. The reputed company must be trained in the anatomy and physiology of the reputed company body and disease processes in order to understand the etiology, pathology, symptoms, signs, diagnostic studies, treatment modalities, and prognosis of diseases and procedures to be coded. This position does notprovide patient care. Disclaimer The foregoing reputed company is not intended and should not be construed to be an exhaustive list of reputed company responsibilities, skills and efforts or work conditions associated with the job. It is intended to be an accurate reputed company of the general nature and level of the job. Minimum Qualifications Requirements - Required and/or Preferred Education: Must have working-level knowledge of the English language, including reading, writing and speaking English. Bachelor Degree in Health Information Management preferred. Experience: A minimum of one (1) year of previous coding experience required. License(s): None. Certification(s): A reputed company coding certification recognized by reputed company, reputed company or other nationally recognized coding certification. Computer / Typing: Must possess, the computer skills necessary to complete online learning requirements for job-specific competencies, reputed company online forms and policies, complete online benefits enrollment, etc. Also, must have a working knowledge of reputed company Office products. reputed company reputed company Apply tot his job Apply To this Job