Medicare Risk Adjustment Coding/Auditor, Prior CMS-HCC V28 Required

This is a fully remote position, open to applicants in United States.

📋 Description

• Assists in conducting regular quality assurance (QA) audits of the internal Coding Analyst Team to validate and confirm the quality of coding and abstracting.

• Monitors and reports on the progress of QA audits conducted on coding vendors to ensure coding accuracy.

• Collaborates with Risk Adjustment Management regarding any MRA data validation or coding audits.

• Evaluates and communicates audit findings with the Manager to enhance training and improve documentation.

• Ensures adherence to all relevant federal, state, and local regulations.

⛳️ Requirements

• A minimum of three years of experience in Medicare Risk Adjustment coding within a medical group or health plan environment is required.

• High School Diploma or GED is necessary.

• Successful completion of a Medical Coding training program is required.

• Certification as a Coder is mandatory: CCS, CCS-P, CPC, CRC, RHIT, or RHIA.

• Proficient in using the MS Office suite, including Excel, Word, and Outlook.

• Prior experience with Epic, Allscripts, EZCap, and Athenahealth is preferred.

🏝️ Benefits

• Health insurance

• Retirement plans

• Professional development

• Flexible work arrangements