Salary: $60-75K+

Location: 100% Remote

Job Description:

  • – Audit medical records of primary care physicians and specialist offices to confirm accuracy of all reported diagnoses including Hierarchical Condition Categories (HCC) as supported by clinical documentation
  • – Identify trends through analytics leading to revenue integrity opportunities
  • – Assist with claim denial reports related to coding and documentation to ensure optimal reimbursement
  • – Possess an expert understanding of coding methodologies and support the enterprise in effective coding realization
  • – Knowledge in retrospective audits preferably with primary care, specialty care based and/or Federally Qualified Health Centers
  • – Assess the need for provider education/training based on analytics and quality audits of medical records
  • – Act as a resource for documentation and coding questions from clients and staff

Requirements:

  • – Minimum of 5 years of experience in coding and completing retrospective audits in the specialty of Hierarchical Condition Categories (HCC)
  • – RHIA, RHIT, CCS, CPC or CRC Credential
  • – Prior RADV experience highly desired
  • – Previous Medicaid Coding/Auditing experience preferred
  • – Additional coding experience with E/M, ambulatory and/or outpatient procedures preferred

Benefits:

  • – Full benefits,
  • – 13 paid Holidays, 3 weeks of vacation and every other Friday Off!
  • – 100% Remote
  • – No relocation required
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