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Remote opportunity.
Recent Risk Adjustment experience is REQUIRED.
Summary :
This position is accountable for accurately reviewing, interpreting, auditing, coding and analyzing medical record documentation for diagnosis accuracy, correct documentation, and Hierarchical Coding Condition (HCC) abstraction.
Review may include inpatient, outpatient treatment and / or professional medical services, according to ICD- / ICD- CM coding guidelines and risk adjustment model regulations.
This position supports Annual Commercial (ACA) and Medicare Advantage Risk Adjustment Data Validation Audits (RADV) along with the annual Risk Adjustment life cycle for the Medicare, Medicaid, and Commercial lines of business.
Responsibilities :
Qualifications :
Knowledge
Requires proficiency in the CPT-, HCPC, ICD- / ICD- coding
Requires knowledge of medical terminology of medical procedures, abbreviations and terms
Requires knowledge of the health care delivery system
Skills and Abilities
Disclaimer
This job summary has been designed to indicate the general nature and level of work performed by colleagues within this classification.
It is not designed to contain or be interpreted as a comprehensive inventory of all duties, responsibilities, and qualifications required of colleagues assigned to this
job.
The information above is intended to describe the general nature of
the work being performed by each incumbent assigned to this position. This job description is not designed to be an exhaustive list of all responsibilities, duties, and skills required of each incumbent.
Full Time
$72k-93k (estimate)
06/23/2024
06/26/2024
axelon.com
New York, NY
500 - 1,000